Individual
BRIDGET HUMMEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 N PATRICK BLVD, BROOKFIELD, WI 53045-5883
(888) 754-0398
Mailing address
4920 N 104TH ST, MILWAUKEE, WI 53225-4018
(224) 633-8298
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
WI
Other
Enumeration date
12/29/2022
Last updated
12/29/2022
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