Individual
JOHN SYBURG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
507 NORTH 17TH STREET, MILWAUKEE, WI 53233
(414) 699-9447
Mailing address
507 NORTH 17TH STREET, MILWAUKEE, WI 53233
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
12859811-1206
UT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/02/2022
Last updated
01/23/2024
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