AGNES PROSPERE

OAK CREEK, WI
NPI1083241301
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: WI  80102-20)
Enumeration Date2020-03-25
Last Update Date2023-10-26
Business Address
Dr. AGNES PROSPERE MD
200 E RYAN RD
OAK CREEK, WI 53154-4563
Phone number: 414-570-3590
Mailing Address
Dr. AGNES PROSPERE MD
PO BOX 735044
CHICAGO, IL 60673-4329
Phone number: 414-570-3590
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