Individual provider · Type 1 NPI

Mary J. Derse-Hayes, P.A.

Physician Assistant · Milwaukee, WI

NPI number 1679675557 Active

Practice location

2350 N Lake Dr, Suite 302
Milwaukee, WI 53211-4528

Call (414) 298-7104 Map

Fax (414) 298-7117

Mailing address

788 N Jefferson St, Suite 300/ATTN. Kaaren Butzen
Milwaukee, WI 53202-3718

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X2046 (WI)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1679675557

Mary J. Derse-Hayes, P.A.'s National Provider Identifier is 1679675557, issued on Sep 2, 2006. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Milwaukee, WI. The record was last updated on Nov 9, 2016.