Individual
MADISON AUSTAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1825 S TWIN WILLOWS DR, NEW BERLIN, WI 53146-1258
(262) 408-7576
Mailing address
1825 S TWIN WILLOWS DR, NEW BERLIN, WI 53146-1258
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
257786
WI
Other
Enumeration date
06/30/2021
Last updated
06/30/2021
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