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Individual

KARIN LEE WASIULLAH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
2000 E LAYTON AVE, ST FRANCIS, WI 53235-6053
(414) 744-6589
(414) 747-8848
Mailing address
100 15TH AVE, #180, SOUTH MILWAUKEE, WI 53172-1160
(414) 768-5430
(414) 762-4225

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
117121-30
WI
363LF0000X
Family Nurse Practitioner
Primary
1589-033
WI

Other

Enumeration date
05/01/2007
Last updated
09/25/2012
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