Individual
DIANNA L MALKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2700 W 9TH AVE STE 203, OSHKOSH, WI 54904-7864
(920) 738-2000
Mailing address
2700 W 9TH AVE STE 203, OSHKOSH, WI 54904-7864
(920) 738-2000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2154
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41940000
—
WI
Enumeration date
06/27/2007
Last updated
03/26/2025
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