Individual
CHRISTOPHER G PESKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
9000 W WISCONSIN AVE, MILWAUKEE, WI 53226-4874
(414) 266-1686
(414) 266-1525
Mailing address
9000 W WISCONSIN AVE, MILWAUKEE, WI 53226-4874
(414) 266-1686
(414) 266-1525
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
592
WI
363AM0700X
Medical Physician Assistant
Primary
592
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001856578Y
HUMANA
—
05
—
42926600
—
WI
Enumeration date
05/17/2006
Last updated
03/17/2018
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