Elissa Bethmarie Porath
Elissa Bethmarie Porath is a Physician Assistant in Milwaukee, Wisconsin. Practices as a sole proprietor. Licensed in Wisconsin.
- Licensed in
- WI
- In the registry since
- 2021
Practice location Address checks out
945 N 12th StMilwaukee, WI 53233-1305
Phone: (414) 219-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence 5630 (WI) |
|---|
Record details
| NPI number | 1043895287 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | March 9, 2021 |
| Last updated in NPPES | January 3, 2022 |
| Certification date | January 3, 2022 |
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