Individual
BASIL C NWACHUKWU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4509 N 76TH ST APT 1, MILWAUKEE, WI 53218-5343
(414) 881-3392
Mailing address
4509 N 76TH ST APT 1, MILWAUKEE, WI 53218-5343
(414) 881-3392
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
200483
WI
Other
Enumeration date
01/27/2020
Last updated
01/27/2020
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