Individual
JENNA BRZESKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3077 N MAYFAIR RD STE 305, WAUWATOSA, WI 53222-4305
(414) 384-6700
(414) 727-1058
Mailing address
3077 N MAYFAIR RD STE 305, WAUWATOSA, WI 53222-4305
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5702-23
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
11/11/2021
Last updated
04/15/2022
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