Individual
ALLYSON THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-6400
(414) 955-0213
Mailing address
4545 CATALINA PKWY, MCFARLAND, WI 53558-8766
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5245
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1700488376
—
WI
Enumeration date
11/09/2020
Last updated
11/07/2022
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