Individual
JACQUELYN DRAXLER RAUTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 N OAK AVE, MARSHFIELD, WI 54449
(715) 387-0304
Mailing address
7906 EVERGREEN ST, HEWITT, WI 54441-9036
(715) 387-0304
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
152913-30
WI
363L00000X
Nurse Practitioner
Primary
6989-33
WI
Other
Enumeration date
06/27/2016
Last updated
08/19/2016
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