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Individual

CALEB SAMUEL YOUNG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
APNP

Contact information

Practice address
3023 S 84TH ST, MILWAUKEE, WI 53227-3703
(414) 329-4979
(414) 328-4494
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
9618
WI
363LF0000X
Family Nurse Practitioner
9618-33
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100093876
WI
Enumeration date
09/24/2019
Last updated
04/22/2024
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