Individual
MARIAN QUIMIMANLES METTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1710 S 7TH ST, MILWAUKEE, WI 53204-3538
(414) 645-8383
Mailing address
1710 S 7TH ST, MILWAUKEE, WI 53204-3538
(414) 645-8383
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
173501-30
WI
Other
Enumeration date
09/22/2017
Last updated
07/21/2022
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