person
Keith Dallenbach JR., RN,ACNPC-AG
Acute Care Nurse Practitioner in Milwaukee, Wisconsin
NPI 1104202506

Keith Dallenbach JR. is an Acute Care Nurse Practitioner based in Milwaukee, WI and is specialized in Acute Care. Keith Dallenbach JR. practices in Milwaukee, WI and has the professional credentials of RN,ACNPC-AG. The NPI Number for Keith Dallenbach JR. is 1104202506 and holds a License No. 179816 (Wisconsin).

The current practice location address for Keith Dallenbach JR. is 9200 W Wisconsin Ave, Milwaukee, WI and can be reached out via phone at 414-805-0746 and via fax at 414-805-0748.

Location: 9200 W Wisconsin Ave, Milwaukee, WI, 53226-3522
person
Provider Profile Details
NPI Number
1104202506
Provider Name
Keith Dallenbach JR.
Credential
RN,ACNPC-AG
Provider Entity Type
Individual
Gender
Male
Address
9200 W Wisconsin Ave, Milwaukee, WI, 53226-3522
Phone Number
414-805-0746
Fax Number
414-805-0748
Provider Enumeration Date
08/07/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
9200 W Wisconsin Ave
City
State
Zip
53226-3522
Phone Number
414-805-0746
Fax Number
414-805-0748
person
Provider Business Mailing Address Details
Address
9200 W Wisconsin Ave
City
State
Zip
53226-3522
Phone Number
414-805-0746
Fax Number
414-805-0748
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Acute Care
Taxonomy
License No.
179816 (Wisconsin)
Definition
Definition to come...
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