Individual
MACKENZIE TAYLOR DUDEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
507 N 17TH ST, MILWAUKEE, WI 53233
(616) 502-8648
Mailing address
507 N 17TH ST, MILWAUKEE, WI 53233
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
WI
Other
Enumeration date
02/21/2023
Last updated
05/23/2023
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