Individual
KENDRA E KONITZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
9200 W WISCONSIN AVE, GYNECOLOGIC ONCOLOGY, MILWAUKEE, WI 53226-3522
(414) 805-8570
(414) 805-6622
Mailing address
9200 W WISCONSIN AVE, GYNECOLOGIC ONCOLOGY, MILWAUKEE, WI 53226-3522
(414) 805-8570
(414) 805-6622
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3384
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1790194702
—
WI
Enumeration date
08/05/2014
Last updated
01/23/2017
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