Jacob Papke, PA-C
Physician Assistant in West Allis, WI. Individual provider (NPI-1).
NPI number1982177135
StatusActive
Last updated in NPPESSep 16, 2024
Details
- NPI
- 1982177135
- Entity type
- Individual (NPI-1)
- Name
- Jacob Papke
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 9, 2019
- Certification date
- Sep 16, 2024
- Last updated
- Sep 16, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 4818-23 | WI | Yes |
| 363A00000X | Physician Assistant | – | TN |
Practice location
6609 W Greenfield AveWest Allis, WI 53214-4958
Phone 414-257-8577
Mailing address
Po Box 735044Chicago, IL 60673-5044
Phone 800-326-2250
Other practice locations
1265 Union Ave
Memphis, TN 38104-3415
Memphis, TN 38104-3415
Phone 901-516-7000
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All 32 Physician Assistant providers in West Allis · All 1,759 providers in West Allis
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