Provider Demographics
NPI:1780032235
Name:AUKOFER-PARKER, ANGELA (MSOM, LMT,)
Entity Type:Individual
Prefix:MRS
First Name:ANGELA
Middle Name:
Last Name:AUKOFER-PARKER
Suffix:
Gender:F
Credentials:MSOM, LMT,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:316 OAKTON AVE
Mailing Address - Street 2:
Mailing Address - City:PEWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53072-3540
Mailing Address - Country:US
Mailing Address - Phone:262-549-2349
Mailing Address - Fax:
Practice Address - Street 1:N6W27539 NORTHVIEW RD
Practice Address - Street 2:
Practice Address - City:WAUKESHA
Practice Address - State:WI
Practice Address - Zip Code:53188-1911
Practice Address - Country:US
Practice Address - Phone:262-549-2349
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-05-25
Last Update Date:2016-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI316-55171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist