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Individual

MRS. DEBRA MARIE WENCKA

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
RN/RCS

Contact information

Practice address
6580 S 46TH ST, FRANKLIN, WI 53132-8153
(414) 421-0276
Mailing address
3958 S 2ND ST, MILWAUKEE, WI 53207-4322
(414) 482-4254

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
35002200
WI
Enumeration date
06/18/2006
Last updated
07/09/2007
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