DEBRA L KETTERHAGEN

WAUKESHA, WI
NPI1427064948
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: WI  2160-033)
Enumeration Date2006-08-01
Last Update Date2011-11-09
Business Address
-- DEBRA L KETTERHAGEN APNP
725 AMERICAN AVE PROHEALTH CARE MEDICAL ASSOCIATES, INC.
WAUKESHA, WI 53188-5031
Phone number: 262-928-3500
Mailing Address
-- DEBRA L KETTERHAGEN APNP
N17W24100 RIVERWOOD DR PROHEALTH CARE MEDICAL ASSOCIATES, INC.
WAUKESHA, WI 53188-1177
Phone number: 262-928-4100
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