John E Docter, C.R.N.A. Valid NPI

Individual provider · Registered Nurse · Brookfield, WI

NPI

1073773404

Type

Individual (Type 1)

Primary specialty

Registered Nurse

Specialty group

Nursing Service Providers

Taxonomy code

163W00000X

License number

30408-030 (WI)

Sex

Male

Sole proprietor

Yes

Enumerated

2008-06-10

Last updated

2008-06-10