Individual
MARY-KATE DODGE UY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
1840 N PROSPECT AVE, MILWAUKEE, WI 53202-1975
(414) 831-6877
(414) 831-6765
Mailing address
1840 N PROSPECT AVE, MILWAUKEE, WI 53202-1975
(414) 831-6877
(414) 831-6765
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
3885-033
WI
Other
Enumeration date
10/30/2009
Last updated
01/09/2021
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