Individual
MICHELLE WHITAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
4404 STATE ROAD 70, WEBSTER, WI 54893-9251
(715) 349-8554
(715) 349-7544
Mailing address
4404 STATE ROAD 70, WEBSTER, WI 54893-9251
(715) 349-8554
(715) 349-7544
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
304413
WI
Other
Enumeration date
10/19/2016
Last updated
10/19/2016
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