Individual
PAMELA KOHLHEIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3515 N 55TH ST, MILWAUKEE, WI 53216-2809
(414) 308-6147
Mailing address
3515 N. 55TH ST, MILWAUKEE, WI 53216
(414) 308-6147
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
K4506607070404
WI
Other
Enumeration date
10/31/2011
Last updated
10/31/2011
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