Individual
HEAROLD DEAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6862 N 42ND ST, MILWAUKEE, WI 53209-2207
(414) 252-6158
Mailing address
PO BOX 5193, DALLAS, TX 75208-9193
(414) 215-3860
Taxonomy
Speciality
Code
Description
License number
State
344600000X
Taxi
Primary
D5003248317902
WI
Other
Enumeration date
06/26/2023
Last updated
06/26/2023
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