Individual
DAGMARA Z. BEINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
8201 S HOWELL AVE, SUITE 400, OAK CREEK, WI 53135
(414) 570-1120
Mailing address
2640 VIOLET CT, RACINE, WI 53402-1458
(262) 752-0313
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1738-023
WI
Other
Enumeration date
09/26/2006
Last updated
03/18/2008
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