Individual
MARIE K DZIEWIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
100 THEDA CLARK MEDICAL PLZ STE 400, NEENAH, WI 54956-2763
(920) 725-4527
(920) 729-2378
Mailing address
100 THEDA CLARK MEDICAL PLZ STE 400, NEENAH, WI 54956-2763
(920) 725-4527
(920) 729-2378
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
9468-33
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
71445
—
WI
Enumeration date
10/30/2019
Last updated
12/27/2021
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