MEDICARE: MARGARET KALB PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant

General Provider Information

NPI Number	:	1023991825
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARGARET KALB PA

Provider Business Mailing Address
First Line	:	507 N 17TH ST
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53233-2104
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	10180 WASHINGTON AVE
Second Line	:
City	:	MOUNT PLEASANT
State	:	WI
Zip	:	53177-1604
Country	:	US
Telephone Number	:	262-687-7500
Fax Number	:	262-687-7501

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/29/2025
Last Update Date	:	03/13/2026

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