Individual
CALVERT VANN SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4001 W CAPITOL DR, MILWAUKEE, WI 53216-2530
(414) 810-6691
Mailing address
4001 W CAPITOL DR, MILWAUKEE, WI 53216-2530
(414) 810-6691
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
11/13/2013
Last updated
11/13/2013
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