Individual
AMANDA C ZIEGEWEID
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
10000 W BLUEMOUND RD, WAUWATOSA, WI 53226-4321
(414) 805-5320
(414) 805-5323
Mailing address
10000 W BLUEMOUND RD, WAUWATOSA, WI 53226-4321
(414) 805-5320
(414) 805-5323
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
2022
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2022
LICENSE
WI
01
—
PA05936
PA LICENSE
TX
Enumeration date
08/14/2006
Last updated
02/01/2023
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