Individual ProviderAngela M SafranekPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address10400 W North Ave, Wauwatosa, WI 53226(414) 479-2300(414) 647-6326PECOS EnrollmentBased on the most recent information from CMS, provider Angela M Safranek 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 2 days ago.Profile DetailsProvider ID1427165794Provider TypeIndividualFull NameSafranek, Angela MTitleMs.CredentialPA-CGenderFemaleSole ProprietorNoEnumeration Date8/24/2006Last Updated7/8/2007Contact InformationPractice LocationPractice Address10400 W North Ave, Wauwatosa, WI 53226Phone(414) 479-2300Fax(414) 479-2525Mailing LocationMailing Address3301 W Forest Home Ave, Milwaukee, WI 53215-2843Phone(414) 647-6326Fax(414) 671-8860Provider TaxonomiesCodeDescriptionLicenseCode363A00000XPrimaryDescriptionPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersLicense1703-023WisconsinCode363A00000XDescriptionPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersLicenseUnlisted IssuerIllinois