Individual
MRS. MARY ANN TRUOG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
2360 LILLY RD, BROOKFIELD, WI 53005-4900
(262) 827-4247
(262) 827-4247
Mailing address
2360 LILLY RD, BROOKFIELD, WI 53005-4900
(262) 827-4247
(262) 827-4247
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
64479-30
WI
Other
Enumeration date
06/06/2012
Last updated
06/06/2012
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