Individual
VICKI MARTINEK
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
270 E MARQUETTE ST, BERLIN, WI 54923-1298
(920) 361-5727
(920) 361-5357
Mailing address
225 MEMORIAL DR, BERLIN, WI 54923-1243
(920) 361-1313
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
52758-030
WI
363L00000X
Nurse Practitioner
769-033
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43855200
—
WI
Enumeration date
08/18/2005
Last updated
09/11/2025
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