Individual
KIMBERLY J FITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11390 W THEODORE TRECKER WAY, WEST ALLIS, WI 53214-1135
(414) 928-1401
(414) 928-1402
Mailing address
1703 W WHITAKER AVE, MILWAUKEE, WI 53221-2305
(414) 628-2412
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
189436-30
WI
Other
Enumeration date
08/04/2020
Last updated
08/04/2020
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