Search › Wisconsin › 363A00000X
Michael Tucker, PHYSICIAN ASSISTANT
NPI 1417332321 · on the registry since 2015 · sole proprietor
Practice
- Address
- 5171 N Santa Monica Blvd
Apt 4
Milwaukee, WI 53217 - Phone
- (414) 828-7761
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-12-02
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin