Most Relevant Information
Provider Data
| NPI Number: | 1003646910 |
| Provider Name: | SUMMER R WINGER |
| Entity Type: | Individual |
| Taxonomy Code: | 363AM0700X |
| Specialty: | Physician Assistant |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/05/2024 |
| Last Updated: | 10/28/2024 |
Provider Practice Location
507 N 17TH ST
MILWAUKEE
WI
532332104
Practice Location Phone/Fax
| Phone: | 2625274347 |
| Fax: |
Provider Mailing Location
W292S4024 HILLSIDE RD # 2
WAUKESHA
WI
531899592
Provider Mailing Phone/Fax
| Phone: | 2625274347 |
| Fax: |