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Individual

ADAM J HOLMBECK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
APNP

Contact information

Practice address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 955-6900
(414) 955-0079
Mailing address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 955-6900
(414) 955-0079

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
11591
WI
363LF0000X
Family Nurse Practitioner
221516
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1578130662
WI
Enumeration date
06/07/2021
Last updated
12/15/2021
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