Individual
WILLIAM P MUSTAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
1111 DELAFIELD ST STE 215, WAUKESHA, WI 53188-3403
(262) 542-0074
(262) 542-2803
Mailing address
1111 DELAFIELD ST STE 215, WAUKESHA, WI 53188-3403
(262) 542-0074
(262) 542-2803
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1307
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1703
LICENSE
WI
Enumeration date
08/13/2006
Last updated
09/18/2024
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