Individual
CAROL M ETZEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3003 W GOOD HOPE RD, MILWAUKEE, WI 53209-2042
(414) 352-3100
Mailing address
3003 W GOOD HOPE RD, MILWAUKEE, WI 53209-2042
(414) 352-3100
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
6180
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100042391
—
WI
Enumeration date
12/30/2014
Last updated
01/09/2024
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