Individual provider · Type 1 NPI
Ellen Marie Ketter, PA-C
Physician Assistant · Wauwatosa, WI
Practice location
2727 N Mayfair Rd Ste I
Wauwatosa, WI 53222-4400
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant Primary | 363A00000X | 3840 - 23 (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 1942653480
Ellen Marie Ketter, PA-C's National Provider Identifier is 1942653480, issued on Jul 20, 2016. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Wauwatosa, WI. The record was last updated on Jul 10, 2026.