Provider Demographics
NPI:1700171535
Name:RANGEL, MARGARET R (PA-C)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:R
Last Name:RANGEL
Suffix:
Gender:F
Credentials:PA-C
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Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:19475 W NORTH AVE
Mailing Address - Street 2:SUITE 201
Mailing Address - City:BROOKFIELD
Mailing Address - State:WI
Mailing Address - Zip Code:53045-4199
Mailing Address - Country:US
Mailing Address - Phone:262-395-4141
Mailing Address - Fax:262-395-4159
Practice Address - Street 1:19475 W NORTH AVE
Practice Address - Street 2:SUITE 201
Practice Address - City:BROOKFIELD
Practice Address - State:WI
Practice Address - Zip Code:53045-4199
Practice Address - Country:US
Practice Address - Phone:262-395-4141
Practice Address - Fax:262-395-4159
Is Sole Proprietor?:No
Enumeration Date:2011-06-09
Last Update Date:2015-12-09
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant