Mara Stasik, PA-C

NPI #1013312867 in Milwaukee, Wisconsin

Provider Information

NPI Number: 1013312867
Entity Type: Individual
Name: Mara Stasik, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Oct 22, 2014
Last Updated: Dec 8, 2023

Practice Location

Address: 2900 W OKLAHOMA AVE
Address 2: 5TH FLOOR GALLERIA
City: Milwaukee
State: Wisconsin
ZIP Code: 53215-4330
Phone: (414) 646-2550

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant - Medical — Medical	363AM0700X
Physician Assistant	363A00000X	Primary

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