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Individual
MS. GEORGIA R. DITZENBERGER
Active
Individual
MS. GEORGIA R. DITZENBERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NNP-BC, PHD
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
093006205N9 NNP-PP
OR
363LN0000X
Neonatal Nurse Practitioner
Primary
3563-033
WI
Other
Enumeration date
02/08/2007
Last updated
12/14/2015
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