Individual
JULIA HINKLE PENN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1045 W GLEN OAKS LN, SUITE 1, MEQUON, WI 53092-3467
(262) 241-4664
(262) 241-1012
Mailing address
1045 W GLEN OAKS LN, SUITE 1, MEQUON, WI 53092-3467
(262) 241-4664
(262) 241-1012
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
23677
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00798910
RAILROAD MEDICARE
WI
Enumeration date
03/29/2007
Last updated
09/30/2010
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