Most Relevant Information
Provider Data
| NPI Number: | 1003229964 |
| Provider Name: | ALYSSA ZIELKE P.A. |
| Entity Type: | Individual |
| Taxonomy Code: | 363A00000X |
| Specialty: | Physician Assistant |
| License Number: | 3336-23 |
Most Important Dates
| Enumeration Date: | 06/09/2014 |
| Last Updated: | 04/25/2016 |
Provider Practice Location
240 MAPLE AVE
PROHEALTH CARE MEDICAL ASSOCIATES INC
MUKWONAGO
WI
531498475
Practice Location Phone/Fax
| Phone: | 2629281900 |
| Fax: |
Provider Mailing Location
240 MAPLE AVE
PROHEALTH CARE MEDICAL ASSOCIATES INC
MUKWONAGO
WI
531498475
Provider Mailing Phone/Fax
| Phone: | 2629281900 |
| Fax: |