Individual
MR. CARL A HOLBORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NURSE PRACTITIONER
Contact information
Practice address
725 AMERICAN AVE, WAUKESHA, WI 53188-5031
(262) 928-1000
Mailing address
3428 S 113TH ST APT 5, WEST ALLIS, WI 53227-3935
(262) 914-0874
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
10588
WI
Other
Enumeration date
01/22/2021
Last updated
01/22/2021
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