BARBARA J. PROVO

MILWAUKEE, WI
NPI1992944300
Former NameBARBARA J. GOEDDERZ
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: WI  3604)
Enumeration Date2009-02-09
Last Update Date2012-08-03
Business Address
Ms. BARBARA J. PROVO APNP
9200 W WISCONSIN AVE VASCULAR SURGERY
MILWAUKEE, WI 53226-3522
Phone number: 414-805-3902
Mailing Address
Ms. BARBARA J. PROVO APNP
9200 W WISCONSIN AVE VASCULAR SURGERY
MILWAUKEE, WI 53226-3522
Phone number: 414-805-3902
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