Search › Wisconsin › 363A00000X
Mikayla Niswonger, PA-C
NPI 1659923795 · on the registry since 2019
Practice
- Address
- 788 N Jefferson St Ste 401
Milwaukee, WI 53202 - Phone
- (414) 226-4020
- Fax
- (414) 225-2929
- Organisation at this address
- Aurora Pharmacy Inc
Madison Medical Affiliates, Inc.
Major Dental Clinics Of Milwaukee S.C.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 22
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-08-03
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