Individual
ELONA COMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
13133 N PORT WASHINGTON RD, SUITE 104, MEQUON, WI 53097-2419
(262) 243-5044
(262) 243-2510
Mailing address
788 N JEFFERSON ST, SUITE 300, MILWAUKEE, WI 53202-3718
(414) 272-8950
(414) 225-2929
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2970
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1578827960
—
WI
Enumeration date
06/29/2012
Last updated
11/07/2016
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