ANTON RUSSELL BANSEMER

MILWAUKEE, WI
NPI1659912368
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: WI  5608-27)
Enumeration Date2019-10-03
Last Update Date2019-10-03
Business Address
ANTON RUSSELL BANSEMER
6735 W BRADLEY RD
MILWAUKEE, WI 53223-3325
Phone number: 414-354-3300
Mailing Address
ANTON RUSSELL BANSEMER
6735 W BRADLEY RD
MILWAUKEE, WI 53223-3325
Phone number: 414-354-3300
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