Individual
JUSTIN DWAYNE HOWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
2221 E. BEVERLY RD, MILWAUKEE, WI 53211
(906) 396-3967
Mailing address
2221 E. BEVERLY RD, MILWAUKEE, WI 53211
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
188333-30
WI
Other
Enumeration date
09/06/2012
Last updated
09/06/2012
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