Individual
THERESE VANBUSKIRK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10400 75TH ST., KENOSHA, WI 53142
(262) 948-5200
(262) 948-5205
Mailing address
10400 75TH ST., KENOSHA, WI 53142
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
1206-033
WI
Other
Enumeration date
04/01/2009
Last updated
04/01/2009
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