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Individual

CAROL M PLANKENHORN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
2900 W OKLAHOMA AVE, ERMED, MILWAUKEE, WI 53215-4330
(414) 649-7299
(414) 649-6694
Mailing address
2900 W OKLAHOMA AVE, ERMED, ST. LUKE'S MEDICAL CENTER, MILWAUKEE, WI 53215-4330
(414) 649-7299

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1187-023
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
POO41817
WI
Enumeration date
05/04/2006
Last updated
05/19/2008
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