Individual
MRS. MARILYN SUE KEULER
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
112 ADAMS ST, CHILTON, WI 53014-1410
(920) 849-7809
Mailing address
112 ADAMS ST, CHILTON, WI 53014-1410
(920) 849-7809
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
—
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39987100
—
WI
Enumeration date
03/28/2006
Last updated
07/09/2007
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