Individual
KASIA KAROLINA CZAJKOWSKA-BACIAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 955-0350
Mailing address
9200 W WISCONSIN AVENUE, MILWAUKEE, WI 53226-3522
(414) 955-0350
(414) 805-6851
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4846
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1922657642
—
WI
Enumeration date
09/05/2019
Last updated
03/15/2023
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