Individual ProviderPaul PruessingPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address2801 W Kk River Pkwy, Suite 1030, Milwaukee, WI 53215-3669(414) 908-6500(414) 908-6601PECOS EnrollmentBased on the most recent information from CMS, provider Paul Pruessing does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 11:26 AM.Profile DetailsProvider ID1194792895Provider TypeIndividualFull NamePruessing, PaulCredentialPAGenderMaleEnumeration Date3/2/2006Last Updated7/8/2007Contact InformationPractice LocationPractice Address2801 W Kk River Pkwy, Suite 1030, Milwaukee, WI 53215-3669Phone(414) 908-6500Fax(414) 385-2980Mailing LocationMailing Address3033 S 27th St, Suite 202, Milwaukee, WI 53215-3600Phone(414) 908-6601Fax(414) 385-2980Provider TaxonomiesCodeDescriptionLicenseCode363A00000XPrimaryDescriptionPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersLicense357-023Wisconsin