NPI 1104585322

Matt Jenkins, CAA

Practitioner Anesthesiologist Assistant Menomonee Falls, WI

Practice location

Address: W180n8085 Town Hall Rd, Menomonee Falls, WI 53051-3518
Phone: (262) 257-5100
Fax: (262) 518-5052

Registered specialties

Anesthesiologist Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367H00000X Licence 554-17 (WI)

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Registry record

NPI: 1104585322
Entity type: Individual
Sex (as registered): Male
NPI issued: 15 Dec 2021
Record last updated: 15 Aug 2024

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.