Mackenzie Dederich
Mackenzie Dederich is a Student in an Organized Health Care Education/Training Program in Mukwonago, Wisconsin. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
214 S Rochester StMukwonago, WI 53149-1612
Phone: (262) 363-2220
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
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Record details
| NPI number | 1467185371 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | July 7, 2022 |
| Last updated in NPPES | July 7, 2022 |
| Certification date | July 7, 2022 |
| Mailing address | 6330 W Greenfield Ave Apt 408, West Allis, WI 53214-5073 |
Other providers in Mukwonago
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Melissa Lange
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MS. Lauren Kay McLeod
W321S8900 Leah Way, Mukwonago, WI 53149-8257 · (262) 993-1468
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Joshua John Yanzer
W307S8579 Woodland Dr, Mukwonago, WI 53149-8821 · (262) 313-8991