Individual
IRENE POPKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
W236N7132 MEADOW LN, SUSSEX, WI 53089-2740
(262) 246-4529
Mailing address
W236N7132 MEADOW LN, SUSSEX, WI 53089-2740
(262) 246-4529
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
78551
WI
Other
Enumeration date
01/21/2014
Last updated
01/21/2014
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