Individual
MICHELLE L WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4311 N 13TH ST, MILWAUKEE, WI 53209-6938
(414) 562-0414
Mailing address
4311 N 13TH ST, MILWAUKEE, WI 53209-6938
(414) 562-0414
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
306939031
WI
Other
Enumeration date
07/05/2011
Last updated
07/05/2011
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