Individual
PATRICK JAMES HALBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-7400
(414) 805-7388
Mailing address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-7400
(414) 805-7388
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
5455-23
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1831643899
—
WI
Enumeration date
08/08/2016
Last updated
07/20/2021
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