Individual provider · Type 1 NPI
Mackenzie Dederich
Student in an Organized Health Care Education/Training Program · Mukwonago, WI
Practice location
214 S Rochester St
Mukwonago, WI 53149-1612
Mailing address
6330 W Greenfield Ave Apt 408
West Allis, WI 53214-5073
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None listed |
Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Another provider at this address
Other student in an organized health care education/training program providers in Mukwonago
- Joshua John YanzerStudent in an Organized Health Care Education/Training Program Mukwonago, WI NPI 1164886628
- Melissa LangeStudent in an Organized Health Care Education/Training Program Mukwonago, WI NPI 1366307472
- Lauren Kay McLeodStudent in an Organized Health Care Education/Training Program Mukwonago, WI NPI 1427584440
- Collin Patrick GrovesStudent in an Organized Health Care Education/Training Program Mukwonago, WI NPI 1760923866
About NPI 1467185371
Mackenzie Dederich's National Provider Identifier is 1467185371, issued on Jul 7, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Mukwonago, WI. The record was last updated on Jul 7, 2022.