Individual
MS. DIANE MARIE CONTRERAS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
AU.D.,CCC-A
Contact information
Practice address
9000 W WISCONSIN AVE, MILWAUKEE, WI 53226-3518
(414) 266-7674
(414) 266-6189
Mailing address
804 MINAKA DR, WAUKESHA, WI 53188-5604
(262) 522-9874
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
382156
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
382156
STATE LICENSE NUMBER
WI
05
—
41142200
—
WI
Enumeration date
06/09/2006
Last updated
07/09/2007
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