Individual
DIANE WISCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3602 S. 4TH, MIL, WI 53207
(414) 483-2052
Mailing address
3602 S. 4TH, MIL, WI 53207
(414) 483-2052
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
09/05/2019
Last updated
09/05/2019
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