Individual
TINA MUELLENBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3136 N 88TH ST, MILWAUKEE, WI 53222-3602
(414) 873-2443
Mailing address
3136 N 88TH ST, MILWAUKEE, WI 53222-3602
(414) 873-2443
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
125940-30
WI
Other
Enumeration date
07/10/2014
Last updated
07/10/2014
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