Individual
KALEIGH MARIE BRUNOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1260 N PROSPECT AVE, APT 706, MILWAUKEE, WI 53202-3020
(262) 646-3199
Mailing address
1260 N PROSPECT AVE, APT 706, MILWAUKEE, WI 53202-3020
(414) 708-1351
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
171894-030
WI
Other
Enumeration date
01/03/2014
Last updated
07/27/2016
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