Individual
COLIN PRANGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-3000
Mailing address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 955-6450
(414) 955-0082
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
8700-023
WI
363A00000X
Physician Assistant
8700-23
WI
363A00000X
Physician Assistant
PA63654
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1679219356
—
WI
Enumeration date
05/06/2022
Last updated
01/19/2026
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