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Individual

MRS. JOYCE LYNN BORTMANN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
R.N.

Contact information

Practice address
3441 S 95TH ST, MILWAUKEE, WI 53227-4328
(414) 541-7745
Mailing address
3441 S 95TH ST, MILWAUKEE, WI 53227-4328
(414) 541-7745

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
39910100
WI
Enumeration date
02/11/2006
Last updated
08/24/2007
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