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Individual

CHARISSE MILLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
511 N 108TH PL, WAUWATOSA, WI 53226
(507) 995-9767
Mailing address
511 N 108TH PL, WAUWATOSA, WI 53226-4203
(507) 995-9767

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
229864
WI

Other

Enumeration date
06/06/2018
Last updated
07/26/2018
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