Individual
MALINDA KLEEMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4730 ENCHANTED VALLEY RD, MIDDLETON, WI 53562-4117
(608) 827-8312
Mailing address
4730 ENCHANTED VALLEY RD, MIDDLETON, WI 53562-4117
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
22101230
WI
Other
Enumeration date
08/19/2015
Last updated
08/19/2015
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