Individual
DEBORAH JOAN MUCKERHEIDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4221 SOUTH 6TH STREET, LOT #D35, MILWAUKEE, WI 53221
(414) 486-3737
Mailing address
4221 SOUTH 6TH STREET, LOT #D35, MILWAUKEE, WI 53221
(414) 486-3737
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
101234
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
39837800
PROVIDER NUMBER
WI
Enumeration date
05/30/2007
Last updated
07/08/2007
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