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Maureen Patricia Martin
Student in an Organized Health Care Education/Training Program in Brookfield, Wisconsin
NPI 1558080952

Maureen Patricia Martin is a Student in an Organized Health Care Education/Training Program based in Janesville, WI. Maureen Patricia Martin practices in Brookfield, WI. The NPI Number for Maureen Patricia Martin is 1558080952 and holds a License No. (Wisconsin).

The current practice location address for Maureen Patricia Martin is 13035 W Bluemound Rd Ste 100, Brookfield, WI and can be reached out via phone at 262-794-1121 and via fax at 262-784-9777.

Location: 13035 W Bluemound Rd Ste 100, Brookfield, WI, 53546-5720
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1558080952
Provider Name
Maureen Patricia Martin
Credential
Provider Entity Type
Individual
Gender
Female
Address
13035 W Bluemound Rd Ste 100, Brookfield, WI, 53546-5720
Phone Number
262-794-1121
Fax Number
262-784-9777
Provider Enumeration Date
08/26/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
M6355555994502 01 WI DRIVERS LICENSE
institution
Provider Business Practice Location Address Details
Address
13035 W Bluemound Rd Ste 100
City
Brookfield
State
Wisconsin
Zip
53005-8001
Phone Number
262-794-1121
Fax Number
262-784-9777
person
Provider Business Mailing Address Details
Address
13035 W Bluemound Rd Ste 100
City
Brookfield
State
Wisconsin
Zip
53005-8001
Phone Number
262-794-1121
Fax Number
262-784-9777
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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