Individual
MARLENE M DERBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
310 E DIVISION ST, DODGEVILLE, WI 53533-1510
(262) 527-4322
Mailing address
230 N SCHOOL ST, CUBA CITY, WI 53807-1223
(608) 778-8484
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
190745-30
WI
Other
Enumeration date
04/24/2018
Last updated
04/24/2018
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