Individual
MS. CRYSTAL LYNN WENZEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
550 SOUTHTOWNE DR APT Z102, SOUTH MILWAUKEE, WI 53172-4171
(414) 587-7046
Mailing address
550 SOUTHTOWNE DR APT Z102, SOUTH MILWAUKEE, WI 53172-4171
(414) 587-7046
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
309521-031
WI
Other
Enumeration date
09/09/2010
Last updated
09/09/2010
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