Individual
ALEXIS C DICKMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2801 W KINNICKINNIC RIVER PKWY, MILWAUKEE, WI 53215-3669
(414) 385-2429
Mailing address
3301 W FOREST HOME AVE, MILWAUKEE, WI 53215-2843
(414) 389-2377
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4176-23
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100074194
—
WI
Enumeration date
01/03/2018
Last updated
12/01/2021
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