Individual
MRS. SHIRLEY ANN KUBIAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
W6440 E PINE ST, DALTON, WI 53926-9375
(920) 394-2136
(920) 394-2021
Mailing address
1152 BLUEBIRD TRL, WAUNAKEE, WI 53597-2618
(608) 334-1481
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
87336-30
WI
Other
Enumeration date
09/13/2016
Last updated
09/13/2016
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