Individual
JODY R BIRLIK
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
945 N 12TH ST, MILWAUKEE, WI 53233-1305
(414) 219-7880
Mailing address
7071 S 13TH ST, STE 104, OAK CREEK, WI 53154-1466
(414) 570-7106
(414) 570-7136
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1589-023
WI
Other
Enumeration date
04/10/2006
Last updated
07/08/2007
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