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Individual

GEORGENE D SOMMER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1032 S CESAR E CHAVEZ DR, MILWAUKEE, WI 53204-2203
(414) 672-1315
(414) 672-8960
Mailing address
1032 S CESAR E CHAVEZ DR, MILWAUKEE, WI 53204-2203
(414) 672-1315
(414) 672-8960

Taxonomy

Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
572-029
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
621303
CDR
WI
Enumeration date
09/20/2006
Last updated
07/08/2007
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