Individual
MS. GALE F MORTL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2422 NORTH GRANDVIEW BLVD, WAUKESHA, WI 53188
(262) 549-6600
(262) 549-6698
Mailing address
2422 NORTH GRANDVIEW BLVD, WAUKESHA, WI 53188
(262) 549-6600
(262) 549-6698
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
3667031
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42017900
—
WI
Enumeration date
05/10/2007
Last updated
07/08/2007
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