Individual
MRS. DORIS U THEUNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS RN CS
Contact information
Practice address
2920 SUPERIOR AVE, SHEBOYGAN, WI 53081-1944
(920) 453-5414
(920) 803-2990
Mailing address
2920 SUPERIOR AVE, SHEBOYGAN, WI 53081-1944
(920) 453-5414
(920) 803-2990
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
249033
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43931900
—
WI
Enumeration date
03/10/2006
Last updated
01/04/2022
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