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Individual

ANDREA JOY MIELKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
W329S8166 S OAK TREE DR, MUKWONAGO, WI 53149-9325
(414) 377-1416
Mailing address
W329S8166 S OAK TREE DR, MUKWONAGO, WI 53149-9325
(414) 377-1416

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4910-26
WI

Other

Enumeration date
07/23/2010
Last updated
07/26/2010
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