Pdn
NPI #1588055107 in South Milwaukee, Wisconsin
Provider Information
- NPI Number
- 1588055107
- Entity Type
- Organization
- Organization Name
- Pdn
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Feb 18, 2015
- Last Updated
- Feb 18, 2015
Practice Location
- Address
- 708 HAWTHORNE AVE UPPR
- City
- South Milwaukee
- State
- Wisconsin
- ZIP Code
- 53172-1734
- Phone
- (414) 458-3179
Authorized Official
- Name
- JENNIFER WYCKOFF
- Title
- RN
- Phone
- (414) 458-3179
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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