NPI 1083195010

Gadeer Ayesh, PAC

Practitioner Physician Assistant Wauwatosa, WI

Practice location

Address: 2885 N Mayfair Rd, Wauwatosa, WI 53222-4404
Phone: (888) 938-3838
Mailing address: 10001 W Innovation Dr, Milwaukee, WI 53226-2285

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 4498 (WI)

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Registry record

NPI: 1083195010
Entity type: Individual
Sex (as registered): Female
NPI issued: 27 Aug 2018
Record last updated: 20 Jan 2022

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.