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Individual

CLARE TILLMAN KUEHL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APNP

Contact information

Practice address
225 CHURCH ST, STOUGHTON, WI 53589-1801
(608) 877-2777
(608) 877-2726
Mailing address
1808 W BELTLINE HWY, MADISON, WI 53713-2334
(608) 250-1497
(608) 250-1384

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
9433
WI
363LP2300X
Primary Care Nurse Practitioner
9433-33
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1023667797
WI
Enumeration date
09/05/2019
Last updated
12/04/2020
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