Individual
THERESE MARIE BROKMEIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8149 NORTH LN, ARGONNE, WI 54511-8934
(715) 360-3907
Mailing address
8149 NORTH LN, ARGONNE, WI 54511-8934
(715) 360-3907
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
178386-30
WI
Other
Enumeration date
08/07/2019
Last updated
08/07/2019
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