Individual
REGINALD HISLOP III
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
N.H.A., PH.D.
Contact information
Practice address
3023 S 84TH ST, MILWAUKEE, WI 53227-3703
(414) 607-4100
(414) 607-4502
Mailing address
3023 S 84TH ST, MILWAUKEE, WI 53227-3703
(414) 607-4100
(414) 607-4502
Taxonomy
Speciality
Code
Description
License number
State
376G00000X
Nursing Home Administrator
Primary
2251
WI
Other
Enumeration date
11/21/2005
Last updated
07/08/2007
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