Individual
STACEY GELHAAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
9338 W GOODRICH AVE, MILWAUKEE, WI 53224-2730
(414) 477-5191
Mailing address
9338 W GOODRICH AVE, MILWAUKEE, WI 53224-2730
(414) 477-5191
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
175801-30
WI
Other
Enumeration date
09/06/2016
Last updated
09/06/2016
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