Individual
MRS. DEBRA SUE POLLESCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, IBCLC
Contact information
Practice address
8707 W. NORTH AVE., WAUWATOSA, WI 53226-2723
(414) 940-9262
Mailing address
2916 N 82 ST., MILWAUKEE, WI 53222-4816
(414) 940-9262
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
117057-030
WI
163WL0100X
Lactation Consultant (Registered Nurse)
10421156
WI
Other
Enumeration date
11/23/2009
Last updated
11/23/2009
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