Individual
MRS. KELLY MARIE MEIDENBAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS
Contact information
Practice address
5555 N. 51ST BLVD., MILWAUKEE, WI 53218
(414) 527-6970
(414) 527-6971
Mailing address
5555 N. 51ST BLVD., MILWAUKEE, WI 53218
(414) 527-6970
(414) 527-6971
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/23/2011
Last updated
06/23/2011
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