SearchWisconsin101YA0400X

Mardy Juhl

NPI 1861018863 · on the registry since 2020

Practice

Address
514 Riverview Ave
Waukesha, WI 53188
Phone
(262) 970-6672
Organisation at this address
Waukesha County
Waukesha County
Waukesha County
Waukesha County
Waukesha County
Inferred from a shared address, not stated in the registry.
Clinicians at this address
307

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Also registered as
101YA0400X
Licence states on file
WI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2020-06-25

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