Individual
THERESA M LINDBLOOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN APNP BC
Contact information
Practice address
3220 W VLIET ST, MILWAUKEE, WI 53208-2453
(414) 231-4000
(414) 231-4010
Mailing address
2238 S 71ST ST, WEST ALLIS, WI 53219-1955
(414) 416-9697
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1758033
WI
Other
Enumeration date
10/14/2006
Last updated
09/22/2011
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