Individual
MS. CORINA MARIE DICKMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
118700 LUTHER ST, STRATFORD, WI 54484-5274
(715) 615-9286
Mailing address
118700 LUTHER ST, STRATFORD, WI 54484-5274
(715) 615-9286
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
241287
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
241287
NURSING LICENSE
WI
Enumeration date
06/03/2022
Last updated
06/12/2022
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