Individual
DR. CLIFFORD SYNER III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
14555 W NATIONAL AVE, NEW BERLIN, WI 53151-4494
(262) 827-2955
(262) 827-2958
Mailing address
3301 W FOREST HOME AVE, MILWAUKEE, WI 53215-2843
(414) 389-2338
(414) 385-8987
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4628
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100090799
—
WI
05
—
Q006582
—
TN
Enumeration date
04/22/2010
Last updated
08/21/2019
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