MICHAEL TUCKER

MILWAUKEE, WI
NPI1417332321
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: WI  3630-23)
Enumeration Date2015-07-22
Last Update Date2021-12-02
Business Address
MICHAEL TUCKER Physician Assistant
5171 N SANTA MONICA BLVD APT 4
MILWAUKEE, WI 53217-5538
Phone number: 414-828-7761
Mailing Address
MICHAEL TUCKER Physician Assistant
5171 N SANTA MONICA BLVD APT 4
MILWAUKEE, WI 53217-5538
Phone number: 414-828-7761
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