Individual
KAITLIN CHRISTINE DIETZMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
N5168 860TH ST, ELK MOUND, WI 54739-8200
(608) 434-7989
Mailing address
N5168 860TH ST, ELK MOUND, WI 54739-8200
(608) 434-7989
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
232561
WI
Other
Enumeration date
02/28/2023
Last updated
02/28/2023
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