Individual
ALICE WAECH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
N64W25037 PROSPECT CIR, SUSSEX, WI 53089-2680
(262) 532-8680
Mailing address
N57W26347 MOUNTAIN MEADOWS DR, SUSSEX, WI 53089-4037
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
17648-33
WI
Other
Enumeration date
12/20/2025
Last updated
12/20/2025
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