Individual
ROXANNE BRAULT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7929 S 66TH ST, FRANKLIN, WI 53132-9281
(414) 425-2191
Mailing address
7929 S 66TH ST, FRANKLIN, WI 53132-9281
(414) 425-2191
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
67930-30
WI
Other
Enumeration date
06/13/2013
Last updated
06/13/2013
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