Individual
MACKENZIE LOUISE GREISCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
835 S VAN BUREN ST, GREEN BAY, WI 54301-3526
(920) 433-0111
Mailing address
2521 S HARMON ST, APPLETON, WI 54915-2504
(920) 850-7382
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
242562
WI
367500000X
Certified Registered Nurse Anesthetist
Primary
144770
WI
Other
Enumeration date
02/20/2023
Last updated
06/05/2023
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