Individual
JULIE MINIKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
207 MILWAUKEE AVENUE, A, WATERFORD, WI 53185
(262) 534-9040
(262) 534-9041
Mailing address
207A MILWAUKEE AVE, WATERFORD, WI 53185
(262) 534-9040
(262) 534-9041
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
47402169
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
47402169
COMMUNITY CARE
WI
Enumeration date
06/01/2015
Last updated
06/01/2015
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