Individual
DR. HEATHER M WULTERKENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D.
Contact information
Practice address
6308 8TH AVE, SUITE 3000, KENOSHA, WI 53143-5031
(262) 656-3300
Mailing address
6308 8TH AVE, SUITE 3000, KENOSHA, WI 53143-5031
(262) 656-3300
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
479
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41151100
—
WI
Enumeration date
07/07/2006
Last updated
11/29/2007
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