Individual
MS. SANDRA M MIELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
9200 W WISCONSIN AVE, BONE MARROW TRANSPLANT, MILWAUKEE, WI 53226-3522
(414) 805-6817
(414) 805-2934
Mailing address
9200 W WISCONSIN AVE, BONE MARROW TRANSPLANT, MILWAUKEE, WI 53226-3522
(414) 805-6817
(414) 805-2934
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
79978
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
005006261I
HUMANA
—
05
—
1164476289
—
WI
Enumeration date
05/22/2006
Last updated
10/01/2020
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