Individual
SHAMIKA MARIE FITZGERALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1610 MILLER PARK WAY, WEST MILWAUKEE, WI 53214-3604
(414) 672-3801
(414) 672-6026
Mailing address
1610 MILLER PARK WAY, WEST MILWAUKEE, WI 53214-3604
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
318680-31
WI
Other
Enumeration date
07/09/2019
Last updated
07/09/2019
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