Individual
MEREDITH PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11827 W FOND DU LAC AVE, MILWAUKEE, WI 53224-3509
(414) 477-4397
Mailing address
11827 W FOND DU LAC AVE, MILWAUKEE, WI 53224-3509
(414) 477-4397
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
148804-030
WI
Other
Enumeration date
02/24/2014
Last updated
02/24/2014
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