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Individual

MICHELLE ROSE MARA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
11400 W LAKE PARK DR, MILWAUKEE, WI 53224-3035
(414) 365-8300
Mailing address
11400 W LAKE PARK DR, MILWAUKEE, WI 53224-3035

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
14430-33
WI

Other

Enumeration date
09/26/2023
Last updated
08/15/2024
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