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1104202506
KEITH DALLENBACH
MILWAUKEE, WI
NPI
1104202506
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: WI 179816)
Enumeration Date
2015-08-07
Last Update Date
2015-08-14
Business Address
-- KEITH DALLENBACH RN, ACNPC-AG
9200 W WISCONSIN AVE INFECTIOUS DISEASES
MILWAUKEE, WI 53226-3522
Phone number: 414-805-0746
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Mailing Address
-- KEITH DALLENBACH RN, ACNPC-AG
9200 W WISCONSIN AVE INFECTIOUS DISEASES
MILWAUKEE, WI 53226-3522
Phone number: 414-805-0746
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