Individual
DEBRA WRECKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
210 E OLIN AVE, MADISON, WI 53713-1434
(608) 807-1428
Mailing address
210 E OLIN AVE, MADISON, WI 53713-1434
(608) 807-1428
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
32667
WI
Other
Enumeration date
07/27/2021
Last updated
08/03/2021
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