SearchWisconsin124Q00000X

Michelle Boettcher, RDH

NPI 1760850614 · on the registry since 2015 · sole proprietor

Practice

Address
2552 S Brisbane Ave
Milwaukee, WI 53207
Phone
(414) 477-2904

Registry record

Primary taxonomy
124Q00000X
124Q00000X
Licence states on file
WI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2015-09-09

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