Individual
ERIKA E PALMTAG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4131 W LOOMIS RD, SUITE 300, GREENFIELD, WI 53221-2051
(414) 325-7246
(414) 325-3770
Mailing address
4131 W LOOMIS RD, SUITE 300, GREENFIELD, WI 53221-2051
(414) 325-7246
(414) 325-3770
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2015
WI
363AM0700X
Medical Physician Assistant
2015
WI
Other
Enumeration date
08/13/2006
Last updated
03/02/2016
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