Individual
JULIE RUTH OWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226
(414) 805-3666
Mailing address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-3666
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
63210
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1821431800
—
WI
Enumeration date
04/09/2013
Last updated
08/20/2018
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