Individual
ALEXANDER KNEZEVICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
N88W17912 MARTIN DR, MENOMONEE FALLS, WI 53051-1958
(262) 255-9338
Mailing address
N88W17912 MARTIN DR, MENOMONEE FALLS, WI 53051-1958
(262) 255-9338
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
31503831
WI
Other
Enumeration date
03/01/2012
Last updated
03/01/2012
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