Individual
KATHERINE SCHULLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3465 N OAKLAND AVE, MILWAUKEE, WI 53211-2824
(414) 315-2239
Mailing address
3465 N OAKLAND AVE, MILWAUKEE, WI 53211-2824
(414) 315-2239
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
S4605019578804
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3417510830
—
WI
Enumeration date
01/21/2015
Last updated
01/21/2015
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