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1659923795
MIKAYLA NISWONGER
MILWAUKEE, WI
NPI
1659923795
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2019-07-09
Last Update Date
2021-08-03
Business Address
MIKAYLA NISWONGER PA-C
788 N JEFFERSON ST STE 401
MILWAUKEE, WI 53202-3718
Phone number: 414-226-4020
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Mailing Address
MIKAYLA NISWONGER PA-C
788 N JEFFERSON ST STE 300
MILWAUKEE, WI 53202-3710
Phone number: 414-272-8950
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