Individual
MARESSA C SWEENEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226
(414) 805-4600
(414) 805-4944
Mailing address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-4600
(414) 805-4944
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
3435-23
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1851794218
—
WI
Enumeration date
09/30/2014
Last updated
03/04/2024
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