Individual
HOLLEY WILLENBERG TOLAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
W231N1440 CORPORATE CT, WAUKESHA, WI 53186-1303
(262) 896-6000
Mailing address
W231N1440 CORPORATE CT, WAUKESHA, WI 53186-1303
(262) 896-6000
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
909
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43241100
—
WI
Enumeration date
06/02/2006
Last updated
10/26/2011
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