SearchWisconsin101YA0400X

Marques Archibold

NPI 1295339711 · on the registry since 2020 · sole proprietor

Practice

Address
3720 N Vel R Phillips Ave
Milwaukee, WI 53212
Phone
(414) 399-7136

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Licence states on file
WI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2020-11-24

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin