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Individual

MR. KARL WYCKLENDT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
4485 N WOODBURN ST, MILWAUKEE, WI 53211-1554
(414) 962-4757
Mailing address
4485 N WOODBURN ST, MILWAUKEE, WI 53211-1554

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
40047800
WI
Enumeration date
04/22/2008
Last updated
04/22/2008
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