Individual
KEITH C RINDAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
1020 N 12TH ST, MILWAUKEE, WI 53233-1308
(414) 219-5000
Mailing address
1020 N 12TH ST, MILWAUKEE, WI 53233-1308
(414) 219-5000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
31574-31
WI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
9649
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100093937
—
WI
05
—
100094127
—
WI
Enumeration date
08/05/2019
Last updated
12/03/2021
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