Individual
AMANDA R SCHLUNDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 955-1400
(414) 955-0197
Mailing address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 955-1400
(414) 955-0197
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4542
WI
363AS0400X
Surgical Physician Assistant
4542
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1568946093
—
WI
Enumeration date
09/20/2018
Last updated
03/27/2023
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