Individual
PEGGY BUETOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2880 S 53RD ST, MILWAUKEE, WI 53219-3331
(414) 321-0210
Mailing address
2880 S 53RD ST, MILWAUKEE, WI 53219-3331
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
90962
WI
Other
Enumeration date
05/05/2008
Last updated
10/30/2012
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