Individual
MADELEINE GRACE EGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
507 NORTH 17TH STREET, MILWAUKEE, WI 53233
(414) 288-0607
Mailing address
507 NORTH 17TH STREET, MILWAUKEE, WI 53233
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/10/2021
Last updated
03/10/2021
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