Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
THERESA RANDALL
ActiveTHERESA RANDALL is a Contractor healthcare provider located in WAUWATOSA, Wisconsin. NPI 1306474952 is currently active in the NPPES registry. Verify at CMS.
Contractor · WAUWATOSA, WI
Registration Details
- NPI Number
- 1306474952
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 30, 2020 (6.3851403878278 yrs)
- Last Updated
- Mar 30, 2020
Practice Information
- Address
-
9455 W WATERTOWN PLANK RD FL 4WAUWATOSA, WI, 532263559Browse WI providers · Browse ZIP 53226
- Phone
- 4142576302
- Primary Specialty
-
Contractor
171W00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.