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Individual

MARTHA KIM PONTEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
5000 W NATIONAL AVE, MILWAUKEE, WI 53295-0001
(262) 745-6449
Mailing address
N7973 COUNTY RD N, EAST TROY, WI 53120-1812

Taxonomy

Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
112755
WI

Other

Enumeration date
04/22/2026
Last updated
04/22/2026
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