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Individual

KAREN E MEDEK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
1610 MILLER PARK WAY, WEST MILWAUKEE, WI 53214-3604
(414) 939-7556
Mailing address
1512 MAPLE ST, SOUTH MILWAUKEE, WI 53172-1539
(785) 210-6844

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
34062-31
WI
164W00000X
Licensed Practical Nurse
3406231
WI

Other

Enumeration date
05/24/2019
Last updated
05/24/2019
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