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1346529674
TINA M HATHWAY
MILWAUKEE, WI
NPI
1346529674
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Former Name
TINA M JASPERSON
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: WI 2801-023)
Enumeration Date
2011-08-04
Last Update Date
2023-12-20
Business Address
TINA M HATHWAY PA-C
9200 W WISCONSIN AVE
MILWAUKEE, WI 53226-3522
Phone number: 414-955-1700
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Mailing Address
TINA M HATHWAY PA-C
9200 W WISCONSIN AVE
MILWAUKEE, WI 53226-3522
Phone number: 414-955-1700
Copy
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