Individual
MRS. JENNIFER MLADUCKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2700 W 9TH AVE, SUITE 11, OSHKOSH, WI 54904-7247
(920) 236-1555
Mailing address
900 E GRANT ST, APPLETON, WI 54911-3487
(920) 749-1171
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1049
WI
Other
Enumeration date
02/22/2007
Last updated
04/07/2008
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