NPI 1033162078

Jennifer Anne Luedke, PAC

Practitioner Physician Assistant Wauwatosa, WI

Practice location

Address: 601 N 99th St Suite 101, Wauwatosa, WI 53226-4339
Phone: (414) 988-5100
Fax: (414) 988-5102

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X

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Registry record

NPI: 1033162078
Entity type: Individual
Sex (as registered): Female
NPI issued: 19 May 2006
Record last updated: 26 Oct 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.