DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MICHAEL TUCKER, PHYSICIAN ASSISTANT

Active Sole Proprietor

MICHAEL TUCKER, PHYSICIAN ASSISTANT is a Physician Assistant healthcare provider located in MILWAUKEE, Wisconsin. NPI 1417332321 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · MILWAUKEE, WI

Registration Details

NPI Number
1417332321
Provider Type
Individual
Gender
Male
NPI Issued
Jul 22, 2015 (11.034128713018 yrs)
Last Updated
Dec 2, 2021
License
3630-23 (WI)
Sole Proprietor
Yes

Practice Information

Address
5171 N SANTA MONICA BLVD
APT 4
MILWAUKEE, WI, 532175538
Browse WI providers · Browse ZIP 53217
Phone
4148287761
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in MILWAUKEE, WI

Name Credential NPI
JULIA NICOLE MENNEN P.A. 1407852916
MR. MARK P BEHAR PA-C 1205832045
LEILA SCHAEFER P.A.-C 1508866401
MRS. CHRISTINE B KAMELLE PA 1821090440
ALAN E EDWARDS PA 1700879871
CATHERINE R. VALENTYN P.A. - C. 1578558045
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.