Individual
JOSEPH T MAKOWKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5735 DURAND AVE STE A, MOUNT PLEASANT, WI 53406-5011
(262) 355-4579
Mailing address
5632 CAMBRIDGE LN, MOUNT PLEASANT, WI 53406-2831
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
306648
WI
Other
Enumeration date
01/10/2019
Last updated
01/10/2019
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