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Individual

KATHLEEN L LUDWIKOWSKI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
317 DEWITT ST, PORTAGE, WI 53901-2155
(608) 297-9680
(608) 745-1757
Mailing address
N5427 COUNTY ROAD Y, MONTELLO, WI 53949-8307
(608) 297-9680

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
4688-33
WI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
4688-33
WI

Other

Enumeration date
08/24/2005
Last updated
10/16/2014
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