Search › Wisconsin › 176B00000X
Mikayla Breneman, CPM, LM
NPI 1336448323 · on the registry since 2011 · sole proprietor
Practice
- Address
- W2086 Clearview Dr
Montello, WI 53949 - Phone
- (920) 229-7792
Registry record
- Primary taxonomy
- 176B00000X
176B00000X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2011-03-16
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