Organization
VICTORIA J. MONDLOCH MD SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICTORIA J MONDLOCH MD (OWNER)
(262) 524-9116
Entity
Organization
Contact information
Practice address
20800 SWENSON DR, STE 425, WAUKESHA, WI 53186-2058
(262) 524-9116
(262) 754-4943
Mailing address
20800 SWENSON DR, WAUKESHA, WI 53186-2058
(262) 524-9116
(262) 754-4943
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
26004
WI
Other
Enumeration date
02/15/2008
Last updated
01/17/2013
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