Individual
MAKENZIE WIESNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
401 W MICHIGAN ST APT 107, MILWAUKEE, WI 53203-2813
(414) 232-5599
Mailing address
401 W MICHIGAN ST APT 107, MILWAUKEE, WI 53203-2813
(414) 232-5599
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
195036-30
WI
Other
Enumeration date
11/02/2018
Last updated
11/02/2018
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