Individual
DONISHA NESBITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4717 N 38TH ST, MILWAUKEE, WI 53209-5949
(414) 308-3688
(262) 354-8375
Mailing address
PO BOX 16752, MILWAUKEE, WI 53216-0752
(414) 308-3688
(262) 354-8375
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
05/12/2015
Last updated
05/12/2015
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