Individual
DMITRIY B CHESTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
1340 W TOWNE SQUARE RD STOP 5, MEQUON, WI 53092-5076
(262) 292-8101
Mailing address
9460 N BROADMOOR RD, MILWAUKEE, WI 53217-1309
(414) 412-9605
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3009-033
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3009-033
NURSE PRACTITIONER
WI
Enumeration date
01/23/2007
Last updated
01/19/2023
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