MEDICARE: MR. PRESTON R KASARSKY CAA

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	367H00000X	Anesthesiologist Assistant	608-17	WI

General Provider Information

NPI Number	:	1528926292
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. PRESTON R KASARSKY CAA

Provider Business Mailing Address
First Line	:	8701 WATERTOWN PLANK RD
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53226-3548
Country	:	US
Telephone Number	:	414-955-8296
Fax Number	:

Provider Business Practice Location Address
First Line	:	8701 WATERTOWN PLANK RD
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53226-3548
Country	:	US
Telephone Number	:	414-955-8296
Fax Number	:

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

Provider Enumeration Date	:	01/12/2026
Last Update Date	:	01/12/2026

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