Individual
MEGHAN BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
216 GREEN BAY RD STE 103, THIENSVILLE, WI 53092-1625
(262) 242-3966
Mailing address
216 GREEN BAY RD STE 103, THIENSVILLE, WI 53092-1625
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1111548-30
WI
Other
Enumeration date
06/16/2025
Last updated
06/16/2025
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