Individual
MS. MARY PAT SUGDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5649 W ROOSEVELT DR, MILWAUKEE, WI 53216-3153
(414) 444-9730
Mailing address
5649 W ROOSEVELT DR, MILWAUKEE, WI 53216-3153
(414) 444-9730
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
305856-31
WI
Other
Enumeration date
09/15/2013
Last updated
09/15/2013
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