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Individual

KAREN L GASTRAU

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APNP

Contact information

Practice address
5928 W VLIET ST, SUITE 100A, MILWAUKEE, WI 53208-2165
(414) 771-0212
Mailing address
1185 KAVANAUGH PL, WAUWATOSA, WI 53213-3146
(414) 476-2458

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
940
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
43859900
WI
Enumeration date
05/20/2006
Last updated
11/19/2021
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