Individual
MEGAN SUE PUTHOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
2906 S 20TH ST, MILWAUKEE, WI 53215-3732
(414) 299-0656
Mailing address
PO BOX 778789, CHICAGO, IL 60677-8789
(414) 672-1353
(414) 672-0191
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
10621-33
WI
363LF0000X
Family Nurse Practitioner
Primary
10621
WI
Other
Enumeration date
12/11/2020
Last updated
10/03/2024
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