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1962009381
SAVANNAH MICKESH
MILWAUKEE, WI
NPI
1962009381
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: WI 11358)
Enumeration Date
2020-10-08
Last Update Date
2024-12-11
Business Address
SAVANNAH MICKESH APN
2801 W KINNICKINNIC RIVER PKWY
MILWAUKEE, WI 53215-3669
Phone number: 414-281-4466
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Mailing Address
SAVANNAH MICKESH APN
PO BOX 735044
CHICAGO, IL 60673-5044
Phone number: 800-326-2250
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