Individual
MARY BURKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
2694 OAK KNOLL DR, JACKSON, WI 53037-9013
(262) 674-1744
Mailing address
2694 OAK KNOLL DR, JACKSON, WI 53037-9013
(262) 674-1744
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
66331-30
WI
Other
Enumeration date
12/21/2011
Last updated
12/21/2011
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