Individual
NICOLE M GOEHRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
316 N MILWAUKEE ST, SUITE 208, MILWAUKEE, WI 53202-5885
(414) 615-0665
Mailing address
106 COLUMBIA AVE, WAUKESHA, WI 53186-6336
(757) 469-4250
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
5323-26
WI
Other
Enumeration date
05/01/2013
Last updated
05/01/2013
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