Individual
MICHELE DUDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
945 N 12TH ST, MILWAUKEE, WI 53233-1305
(414) 219-7021
Mailing address
945 N 12TH ST, MILWAUKEE, WI 53233-1305
(414) 219-7021
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
7910-33
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100071197
—
WI
Enumeration date
05/01/2017
Last updated
09/27/2023
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