Organization
TROLLWAY DIABETES INC.
Active
Other names
Trollway Diabetes Care, Trollway Diabetes Care, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
JILL KRISTEN KIETZKE MSN, BC-ADM (PROGRAM COORDINATOR)
(608) 512-8115
Entity
Organization
Contact information
Practice address
640 S 1ST ST, MOUNT HOREB, WI 53572-3311
(608) 684-6686
Mailing address
640 S 1ST ST, MOUNT HOREB, WI 53572-3311
(608) 512-8115
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
—
Other
Enumeration date
02/24/2022
Last updated
02/24/2022
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