person
Tina M Hathway, PA-C
Surgical Physician Assistant in Milwaukee, Wisconsin
NPI 1346529674

Tina M Hathway is a Surgical Physician Assistant based in Milwaukee, WI and is specialized in Surgical. Tina M Hathway practices in Milwaukee, WI and has the professional credentials of PA-C. The NPI Number for Tina M Hathway is 1346529674 and holds a License No. 2801-023 (Wisconsin).

The current practice location address for Tina M Hathway is 9200 W Wisconsin Ave, Milwaukee, WI and can be reached out via phone at 414-955-1700 and via fax at 414-955-0072.

Location: 9200 W Wisconsin Ave, Milwaukee, WI, 53226-3522
person
Provider Profile Details
NPI Number
1346529674
Provider Name
Tina M Hathway
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
9200 W Wisconsin Ave, Milwaukee, WI, 53226-3522
Phone Number
414-955-1700
Fax Number
414-955-0072
Provider Enumeration Date
08/04/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1346529674 05 WI
institution
Provider Business Practice Location Address Details
Address
9200 W Wisconsin Ave
City
State
Zip
53226-3522
Phone Number
414-955-1700
Fax Number
414-955-0072
person
Provider Business Mailing Address Details
Address
9200 W Wisconsin Ave
City
State
Zip
53226-3522
Phone Number
414-955-1700
Fax Number
414-955-0072
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
2801-023 (Wisconsin)
Definition
Definition to come...
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