Individual
JELENA BUGARIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
9555 76TH ST, PLEASANT PRAIRIE, WI 53158-1984
(262) 577-8000
Mailing address
2801 W KINNICKINNIC RIVER PKWY STE 330, MILWAUKEE, WI 53215-3669
(414) 649-1280
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5249-23
WI
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
05/29/2020
Last updated
08/16/2023
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