Individual
MR. PETER KWASNIAK
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
3149 S 77TH ST, MILWAUKEE, WI 53219-3753
(414) 328-0119
Mailing address
4711 N 100TH ST, WAUWATOSA, WI 53225-4734
(414) 461-3134
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
115161-30
WI
Other
Enumeration date
05/08/2006
Last updated
07/08/2007
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