AMANDA HALLQUIST

BROOKFIELD, WI
NPI1396247789
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: WI  8252-33)
Enumeration Date2018-03-01
Last Update Date2018-03-01
Business Address
AMANDA HALLQUIST NP
21700 INTERTECH DR
BROOKFIELD, WI 53045-5197
Phone number: 262-532-8300
Mailing Address
AMANDA HALLQUIST NP
4460 N 135TH ST
BROOKFIELD, WI 53005-1224
Phone number: 262-370-0239
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