Individual
PAMELA MARY HANNEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1032 S CESAR E CHAVEZ DR, MILWAUKEE, WI 53204-2203
(414) 672-1353
(414) 672-4265
Mailing address
1032 S CESAR E CHAVEZ DR, MILWAUKEE, WI 53204-2203
(414) 672-1353
(262) 408-5094
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1926
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1477535755
NPI
WI
05
—
42880300
—
WI
Enumeration date
11/14/2005
Last updated
03/24/2026
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