Individual
HEIDI CATHERINE PUHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3484 S 22ND RD, SOUTH RANGE, WI 54874-8849
(218) 428-0377
Mailing address
3484 S 22ND RD, SOUTH RANGE, WI 54874-8849
(218) 428-0377
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Enumeration date
05/28/2019
Last updated
05/28/2019
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