SearchWisconsin164W00000X

Demetrice Owens

NPI 1467874693 · on the registry since 2014

Practice

Address
4011 W Hampton Ave
Milwaukee, WI 53209
Phone
(414) 841-4362

Registry record

Primary taxonomy
164W00000X
164W00000X
Licence states on file
WI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2014-01-07

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