Individual
THERESA MARGARET LAMPE PIQUETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6517 MILWAUKEE AVE, WAUWATOSA, WI 53213-2407
(414) 955-8296
Mailing address
8701 W WATERTOWN PLANK RD, MILWAUKEE, WI 53226-3548
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/04/2017
Last updated
04/04/2017
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