Individual
MRS. KATHLEEN J VANTHIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1033 N MAYFAIR RD, SUITE 101, WAUWATOSA, WI 53226-3442
(414) 908-6601
(414) 385-2980
Mailing address
3033 S 27TH ST, SUITE 202, MILWAUKEE, WI 53215-3600
(414) 908-6601
(414) 385-2980
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
3228-033
WI
Other
Enumeration date
06/12/2008
Last updated
02/03/2010
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