Provider Demographics
NPI:1710940937
Name:DILLIG, CARI L (PA)
Entity Type:Individual
Prefix:
First Name:CARI
Middle Name:L
Last Name:DILLIG
Suffix:
Gender:F
Credentials:PA
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Mailing Address - Street 1:9200 W WISCONSIN AVE
Mailing Address - Street 2:HEMATOLOGY AND ONCOLOGY
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53226-3522
Mailing Address - Country:US
Mailing Address - Phone:414-805-4600
Mailing Address - Fax:414-805-2934
Practice Address - Street 1:9200 W WISCONSIN AVE
Practice Address - Street 2:HEMATOLOGY AND ONCOLOGY
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53226-3522
Practice Address - Country:US
Practice Address - Phone:414-805-4600
Practice Address - Fax:414-805-2934
Is Sole Proprietor?:No
Enumeration Date:2006-04-10
Last Update Date:2020-09-24
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
WI1608-023363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI1710940937Medicaid
WIQ13834Medicare UPIN