Individual
VICKI MILROY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2778 S 35TH ST STE 102, MILWAUKEE, WI 53215-3578
(414) 238-0228
Mailing address
1162 DURANGO DR, HARTFORD, WI 53027-2083
(160) 848-1188
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
8406-33
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1871975920
—
WI
Enumeration date
05/15/2018
Last updated
05/15/2018
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