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Individual

MS. CHRISTINA MARIE MANNION

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-8700
(414) 805-7388
Mailing address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-8700
(414) 805-7388

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
MN
363A00000X
Physician Assistant
11143
MN
363A00000X
Physician Assistant
Primary
5542
WI
363AS0400X
Surgical Physician Assistant
11143
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1821118951
WI
Enumeration date
03/30/2007
Last updated
08/21/2024
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