Individual
ELIZABETH THIELEKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
9000 W WISCONSIN AVE, MILWAUKEE, WI 53226-4874
(414) 266-2420
(414) 266-6837
Mailing address
9000 W WISCONSIN AVE, MILWAUKEE, WI 53226-4874
(414) 266-2420
(414) 266-6837
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4444
WI
Other
Enumeration date
07/12/2018
Last updated
10/19/2022
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