Individual
CHERYL METCALF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
817 MICHIGAN AVE, WAUKESHA, WI 53188-3039
(262) 370-2366
Mailing address
817 MICHIGAN AVE, WAUKESHA, WI 53188-3039
(262) 370-2366
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
317682-31
WI
Other
Enumeration date
12/09/2013
Last updated
12/09/2013
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