Individual
JULIE BUNTROCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
4855 S MOORLAND RD, NEW BERLIN, WI 53151-7494
(262) 789-6020
(262) 789-6025
Mailing address
4855 S MOORLAND RD, NEW BERLIN, WI 53151-7494
(262) 789-6020
(262) 789-6025
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
9992
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1780202663
—
WI
Enumeration date
07/08/2020
Last updated
03/17/2023
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