Individual
ALLEN FAKLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BSN, RN
Contact information
Practice address
1501 AIRPORT RD, WAUKESHA, WI 53188-2461
(262) 548-7972
Mailing address
1501 AIRPORT RD, WAUKESHA, WI 53188-2461
(262) 548-7972
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
200050-30
WI
Other
Enumeration date
05/02/2019
Last updated
05/02/2019
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