Individual
STACY BIESEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CDE
Contact information
Practice address
1515 PARK AVE, COLUMBUS, WI 53925-1618
(920) 623-1244
Mailing address
215 ACKER PKWY, DEFOREST, WI 53532-1002
(608) 842-0759
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
178501-30
WI
163WD0400X
Diabetes Educator Registered Nurse
Primary
178501-30
WI
Other
Enumeration date
10/03/2017
Last updated
11/07/2017
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