Individual
BROOKE ELIZABETH KOTTKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
425 PINE RIDGE BLVD STE 200, WAUSAU, WI 54401-4123
(715) 847-2480
Mailing address
244266 GRASS CREEK LN, ATHENS, WI 54411-3400
(715) 573-9404
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
14869-33
WI
Other
Enumeration date
01/01/2024
Last updated
01/01/2024
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