Individual
ANTOINE SAULSBERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5232 N 34TH ST, MILWAUKEE, WI 53209-4702
(262) 412-9093
Mailing address
PO BOX 44365, WEST ALLIS, WI 53214-7365
(262) 412-9093
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/17/2017
Last updated
02/17/2017
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