Individual
MARTHA TRUETTNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4931 S 27TH ST, MILWAUKEE, WI 53221-2652
(414) 817-6666
(414) 817-6661
Mailing address
4931 S 27TH ST, MILWAUKEE, WI 53221-2652
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12564-040
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4880
—
WI
Enumeration date
04/14/2015
Last updated
04/14/2015
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