KEITH DALLENBACH

MILWAUKEE, WI
NPI1104202506
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LA2100X Nurse Practitioner, Acute Care
(Licence: WI  179816)
Enumeration Date2015-08-07
Last Update Date2015-08-14
Business Address
-- KEITH DALLENBACH RN, ACNPC-AG
9200 W WISCONSIN AVE INFECTIOUS DISEASES
MILWAUKEE, WI 53226-3522
Phone number: 414-805-0746
Mailing Address
-- KEITH DALLENBACH RN, ACNPC-AG
9200 W WISCONSIN AVE INFECTIOUS DISEASES
MILWAUKEE, WI 53226-3522
Phone number: 414-805-0746