Individual
ADELINE M WANTUCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-6400
(414) 955-0213
Mailing address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-6400
(414) 955-0213
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
8583-23
WI
Other
Enumeration date
08/04/2025
Last updated
10/27/2025
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