| Ms Jacqueline Kazik, PAC | |
|
Plank Road Clinic, 1155 North Mayfair Road, Milwaukee, WI 53226 | |
| (414) 456-5990 | |
| Not Available |
| Full Name | Ms Jacqueline Kazik |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | Plank Road Clinic, Milwaukee, Wisconsin |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932153277 | NPI | - | NPPES |
| 42916700 | Medicaid | WI | |
| 003000261N | Other | HUMANA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 434-023 (Wisconsin) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Jacqueline Kazik, PAC 1155 N Mayfair Rd, Plank Road Clinic, Milwaukee, WI 53226-3421 Ph: () - | Ms Jacqueline Kazik, PAC Plank Road Clinic, 1155 North Mayfair Road, Milwaukee, WI 53226 Ph: (414) 456-5990 |
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