NPI 1023228384

Sandra D Harrison

Practitioner Driver Milwaukee, WI

Practice location

Address: 1000 N 92nd St, Milwaukee, WI 53226-3533
Phone: (414) 479-9400
Fax: (414) 259-1663
Mailing address: 3906 N Sherman Blvd APT 4, Milwaukee, WI 53216-2460

Registered specialties

Driver Primary

Other Service Providers Taxonomy 172A00000X Licence H625-7846-1720-08 (WI)

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Registry record

NPI: 1023228384
Entity type: Individual
Sex (as registered): Female
NPI issued: 23 May 2007
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.