Individual provider · Type 1 NPI

Tina M. Hathway, PA-C

Surgical Physician Assistant · Milwaukee, WI

NPI number 1346529674 Active

Practice location

9200 W Wisconsin Ave
Milwaukee, WI 53226-3522

Fax (414) 955-0072

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X2801-023 (WI)

Surgical Physician Assistant: Definition to come...

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About NPI 1346529674

Tina M. Hathway, PA-C's National Provider Identifier is 1346529674, issued on Aug 4, 2011. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Milwaukee, WI. The record was last updated on Dec 20, 2023.