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Individual

MEGHAN M BRETL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
N2950 STATE ROAD 67, LAKE GENEVA, WI 53147-2655
(262) 245-4990
(262) 245-2248
Mailing address
N2950 STATE ROAD 67, LAKE GENEVA, WI 53147-2655
(262) 245-4990
(262) 245-2248

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11693-024
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1346537339
WI
01
KLAUBMEG
MERCYCARE INSURANCE
WI
Enumeration date
06/29/2011
Last updated
10/04/2012
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