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Individual

MRS. MARY ASCHBACHER TYLICKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
5000 W NATIONAL AVE, MILWAUKEE, WI 53295-0001
(414) 384-2000
Mailing address
N2220 FOREST RUN, OCONOMOWOC, WI 53066-9132
(414) 384-2000

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
3681-26
WI

Other

Enumeration date
05/28/2006
Last updated
07/08/2007
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