Individual
MR. JOHNNIE VADRON WHEELER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
7825 W BOTTSFORD AVE, GREENFIELD, WI 53220-3325
(773) 668-9715
Mailing address
7825 W BOTTSFORD AVE, GREENFIELD, WI 53220-3325
(773) 668-9715
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
311671-031
WI
Other
Enumeration date
12/26/2009
Last updated
12/26/2009
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