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Nurse Practitioner

NPI: 1326477183IndividualAccepts Medicare

Specialties, Licenses & Credentials

Adult Health Nurse Practitioner

Nurse Practitioner — Adult Health

Code: 363LA2200X

5539-33(WI)

Nurse PractitionerPrimary

Nurse Practitioner

Code: 363L00000X

5539-33(WI)

CMS Specialties

PrimaryNURSE PRACTITIONER

Education

OTHER

Class of 2013

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Contact & Hours

Via practice · 2 locations total

Address: 11333 W NATIONAL AVE
MILWAUKEE, WI 53227
Phone: (414) 328-4580

Locations (2)

Practice Location

11333 W NATIONAL AVE, MILWAUKEE, WI

Practice Location

10701 W Research Dr, Wauwatosa, WI

Quick Facts

NPI: 1326477183
Entity Type: Individual
Gender: Male
Medicare: Accepted
Specialties: 2
Locations: 2
Years in Practice: 13

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