Individual
MS. THERESE M POGORELC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
PLANK ROAD WALK IN CLINIC (DNP), 1155 NORTH MAYFAIR ROAD, MILWAUKEE, WI 53226
(414) 456-5990
Mailing address
1155 N MAYFAIR RD, PLANK ROAD WALK IN CLINIC (DNP), MILWAUKEE, WI 53226-3421
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1099
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43875500
—
WI
Enumeration date
05/17/2006
Last updated
07/08/2007
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