Individual
KARI BRUECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
W231N1440 CORPORATE CT, WAUKESHA, WI 53186-1303
(262) 896-6030
(262) 896-6107
Mailing address
3301 W FOREST HOME AVE, MILWAUKEE, WI 53215-2843
(414) 389-2377
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
7785-033
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100070348
—
WI
Enumeration date
07/20/2017
Last updated
11/29/2021
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