Individual
AMANDA MARIE WIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
352 LADWIG ST, CAMPBELLSPORT, WI 53010-2756
(920) 533-5096
Mailing address
352 LADWIG ST, CAMPBELLSPORT, WI 53010-2756
(920) 533-5096
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
314239-031
WI
Other
Enumeration date
05/14/2012
Last updated
05/14/2012
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