Individual
MRS. KATHERINE MARIE HOLSCLAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CST,CSFA
Contact information
Practice address
18200 W CAPITOL DR, BROOKFIELD, WI 53045-1445
(262) 565-7683
Mailing address
N115W20014 WOODLAND DR, GERMANTOWN, WI 53022-2926
(262) 565-7683
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
95639
WI
246ZS0410X
Surgical Technologist
Primary
36684
WI
Other
Enumeration date
07/22/2011
Last updated
07/22/2011
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