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Elissa Kowaleski, PA-C

Physician Assistant in Mequon, WI. Individual provider (NPI-1).

NPI number1841746989
StatusActive
Last updated in NPPESOct 19, 2026

Details

NPI
1841746989
Entity type
Individual (NPI-1)
Name
Elissa Kowaleski
Credential
PA-C
Sex
Female
Sole proprietor
No
Enumeration date
Aug 29, 2016
Certification date
Oct 19, 2026
Last updated
Oct 19, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician Assistant3793-23WIYes

Practice location

10610 N Port Washington Rd
Mequon, WI 53092-5013

Phone 888-938-3838 · Fax 888-919-1083

Mailing address

10001 W Innovation Dr Ste 200
Milwaukee, WI 53226-4851

Phone 888-938-3838 · Fax 888-919-1083

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