Individual
KELLE J. DAHLKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
N84W16889 MENOMONEE AVE, MENOMONEE FALLS, WI 53051-2810
(262) 251-7500
(262) 251-7128
Mailing address
N84W16889 MENOMONEE AVE, MENOMONEE FALLS, WI 53051-2810
(414) 352-3100
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2751
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100015628
—
WI
Enumeration date
06/08/2011
Last updated
07/12/2024
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