Individual
HEATHER A SZAMOCKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
830 E GREEN BAY AVE STE 100, SAUKVILLE, WI 53080-2662
(262) 284-7117
Mailing address
830 E GREEN BAY AVE STE 100, SAUKVILLE, WI 53080-2662
(262) 284-7117
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
480
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42927700
—
WI
Enumeration date
11/01/2006
Last updated
07/08/2007
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