Individual
MS. JACQUELINE KAZIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
PLANK ROAD CLINIC, 1155 NORTH MAYFAIR ROAD, MILWAUKEE, WI 53226
(414) 456-5990
Mailing address
1155 N MAYFAIR RD, PLANK ROAD CLINIC, MILWAUKEE, WI 53226-3421
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
434-023
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
003000261N
HUMANA
—
05
—
42916700
—
WI
Enumeration date
05/20/2006
Last updated
09/24/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us