Individual
MEREDITH ANN WOOLVERTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1111 E CAPITOL DR, SHOREWOOD, WI 53211-1810
(414) 312-8146
Mailing address
720 N OLD WORLD 3RD ST APT 310, MILWAUKEE, WI 53203-2251
(503) 593-5237
Taxonomy
Speciality
Code
Description
License number
State
156F00000X
Technician/Technologist
Primary
—
—
Other
Enumeration date
07/09/2021
Last updated
07/09/2021
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