Individual
HEATHER M CHAMPAGNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1834 W WISCONSIN AVE, SUITE 100, MILWAUKEE, WI 53233-2125
(414) 933-9100
Mailing address
1834 W WISCONSIN AVE, SUITE 100, MILWAUKEE, WI 53233-2125
(414) 933-9100
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
176435-30
WI
Other
Enumeration date
10/04/2012
Last updated
10/04/2012
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