Individual
MRS. CASEY ELIZABETH WILCOXEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.-C
Contact information
Practice address
3003 W GOOD HOPE RD, MILWAUKEE, WI 53209-2042
(414) 247-4667
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
23096
CA
363A00000X
Physician Assistant
Primary
4854
WI
363AM0700X
Medical Physician Assistant
4854-23
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100091974
—
WI
05
—
1629419023
—
WI
Enumeration date
07/13/2013
Last updated
10/15/2025
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