SearchWisconsin363A00000X

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