Individual
ELISSA KOWALESKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
10610 N PORT WASHINGTON RD, MEQUON, WI 53092-5013
(414) 771-6780
(414) 238-2424
Mailing address
10001 W INNOVATION DR STE 200, WAUWATOSA, WI 53226-4851
(888) 938-3838
(888) 919-1083
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3793 - 23
WI
Other
Enumeration date
08/29/2016
Last updated
01/04/2022
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