Molly K. Slaber, PA-C
Physician Assistant, Medical in Wauwatosa, WI. Individual provider (NPI-1).
NPI number1578956231
StatusActive
Last updated in NPPESApr 6, 2021
Details
- NPI
- 1578956231
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Molly K. Slaber
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 5, 2015
- Certification date
- Apr 6, 2021
- Last updated
- Apr 6, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AM0700X | Physician Assistant, Medical | 3482-23 | WI | Yes |
| 363A00000X | Physician Assistant | – | WI |
Other names
- Molly K. Ford (Former Name)
Practice location
2885 N Mayfair RdWauwatosa, WI 53222-4404
Phone 414-771-6780 · Fax 414-238-2424
Mailing address
10001 W Innovation Dr Ste 200Wauwatosa, WI 53226-4851
Phone 414-771-6780 · Fax 414-238-2424
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Other Medical Physician Assistant providers in Wauwatosa, WI
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- Amanda C Ziegeweid, PA-CNPI 1710990304
All 6 Medical Physician Assistant providers in Wauwatosa · All 2,300 providers in Wauwatosa
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