Individual
AUTUMN LEIGH ANN PLACEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1141 STEVENS ST, DE PERE, WI 54115-1611
(920) 671-4868
Mailing address
1141 STEVENS ST, DE PERE, WI 54115-1611
(920) 671-4868
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
218468
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
281468
RN LICENSE
WI
Enumeration date
08/20/2015
Last updated
08/20/2015
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