Individual
MAKENZIE A TOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
36500 AURORA DR, SUMMIT, WI 53066-4899
(262) 434-1000
Mailing address
3301 W FOREST HOME AVE, MILWAUKEE, WI 53215-2843
(414) 389-2233
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5097-23
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100102975
—
WI
01
—
1168850
NCCPA
—
Enumeration date
07/02/2020
Last updated
08/01/2022
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