Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Renata B Ptak, PA-C

Individual provider Physician Assistant · NPI 1902955933

Renata B Ptak, PA-C is a Physician Assistant in Glendale, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2007.

Licensed in
WI
In the registry since
2007
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

2501 W Silver Spring Dr
Glendale, WI 53209-4217
Phone: (414) 461-9250
Fax: (414) 461-3553
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 1779-023 (WI)

Record details

NPI number1902955933
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJanuary 9, 2007
Last updated in NPPESJune 30, 2020
Certification dateJune 30, 2020

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