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Individual

BRENDA L VANROOSENBEEK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
36500 AURORA DR, SUITE 200, SUMMIT, WI 53066-4899
(262) 434-7300
(262) 434-7351
Mailing address
36500 AURORA DR, SUITE 200, SUMMIT, WI 53066-4899
(262) 434-7300
(262) 434-7351

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
125407-030
WI
363L00000X
Nurse Practitioner
Primary
3902-33
WI

Other

Enumeration date
06/03/2009
Last updated
10/04/2012
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