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Individual

DR. NINA SATHASIVAM-RUECKERT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
ZABLOCKI VA MEDICAL CENTER 5000 WEST NATIONAL AVENUE, MILWAUKEE, WI 53295
(414) 384-2000
Mailing address
5000 W NATIONAL AVE, MILWAUKEE, WI 53295-0001
(414) 384-2000

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
3393-57
WI

Other

Enumeration date
04/06/2018
Last updated
06/08/2018
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