Individual
MRS. DIANE LYNN DEWINTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
141 SIEGLER ST, GREEN BAY, WI 54303-2635
(920) 497-3126
(920) 497-3176
Mailing address
1720 S NORWOOD AVE, GREEN BAY, WI 54304-3708
(920) 433-0733
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
—
WI
Other
Enumeration date
07/21/2006
Last updated
07/08/2007
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