Individual
HEIDI RUTH STANGL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11134 N HWY 77, HAYWARD, WI 54843
(715) 634-5505
Mailing address
11134 N HWY 77, HAYWARD, WI 54843
(715) 634-5505
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2054
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43988900
—
WI
Enumeration date
11/20/2006
Last updated
04/29/2011
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