Individual
KATIE DOLEZAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
252 MCHENRY ST, BURLINGTON, WI 53105-1828
(262) 767-8000
Mailing address
8332 FISHMAN RD, BURLINGTON, WI 53105-9246
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5860
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100040892
—
WI
Enumeration date
10/03/2014
Last updated
10/20/2023
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