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Individual

REBEKAH K KLUSSENDORF

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
2900 W OKLAHOMA AVE, MILWAUKEE, WI 53215-4330
(414) 385-8723
Mailing address
9875 S FRANKLIN DR, FRANKLIN, WI 53132-8895
(414) 858-2206
(414) 858-2236

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3223-033
WI

Other

Enumeration date
10/02/2007
Last updated
02/22/2008
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