Individual
MARY RESZCZYNSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
632 FREMONT ST, KIEL, WI 53042-1321
(920) 894-3222
Mailing address
632 FREMONT ST, KIEL, WI 53042-1321
(920) 894-3222
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
102705-030
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43910200
—
WI
Enumeration date
09/27/2005
Last updated
12/07/2012
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