Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | 1109 | MN |
NPI | 1083245021 |
---|---|
Provider Name | Aidanne Leigh Macdonald-Milewski |
First Address | Milwaukee, WI 53202-1914 |
Second Address | Shorewood, WI 53211-1600 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 29/01/2020 |
Last Update Date | 29/01/2020 |