Individual
DR. VICTORIA J. MONDLOCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
20800 SWENSON DR, SUITE 425, WAUKESHA, WI 53186-2058
(262) 524-9116
(262) 754-4943
Mailing address
20800 SWENSON DR, SUITE 425, WAUKESHA, WI 53186-2058
(262) 524-9116
(262) 754-4943
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
26004
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31399000
—
WI
Enumeration date
02/15/2006
Last updated
01/17/2013
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