NPI 1083316004

Kelly Tramburg, PAC

Practitioner Physician Assistant Wauwatosa, WI

Practice location

Address: 3077 N Mayfair Rd STE 100, Wauwatosa, WI 53222-4305
Phone: (414) 384-6700
Fax: (414) 727-1058
Mailing address: 3077 N Mayfair Rd STE 305, Wauwatosa, WI 53222-4305

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 7457-23 (WI)

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Registry record

NPI: 1083316004
Entity type: Individual
Sex (as registered): Female
NPI issued: 21 Mar 2023
Record last updated: 28 Aug 2023

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.