Individual
AARON PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3540 S. 43RD ST., MILWAUKEE, WI 53220
(414) 328-2128
Mailing address
3540 S. 43RD ST., MILWAUKEE, WI 53220-1502
(541) 301-2967
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4482-154
WI
Other
Enumeration date
09/04/2017
Last updated
09/04/2017
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