Organization
STAT ACCESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DOUGLAS JAMES BYSTREK RN (OWNER-PARTNER/ REGISTERED NURSE)
(414) 405-9055
Entity
Organization
Contact information
Practice address
3429 E ALLERTON AVE, CUDAHY, WI 53110-1017
(414) 405-9055
Mailing address
PO BOX 370646, MILWAUKEE, WI 53237-1746
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
—
—
Other
Enumeration date
01/25/2011
Last updated
01/25/2011
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