Individual
MARIE THERESE USTRUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
16650 W BLUEMOUND RD, BROOKFIELD, WI 53005-5920
(414) 777-3754
Mailing address
8706 SADLER DR, WATERFORD, WI 53185-1506
(262) 939-1883
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
8348-33
WI
Other
Enumeration date
09/21/2018
Last updated
09/25/2018
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