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PIER MAXWELL KEMNITZER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
APNP

Contact information

Practice address
345 W WASHINGTON AVE, MADISON, WI 53703-2996
(608) 417-8300
Mailing address
345 W WASHINGTON AVE, MADISON, WI 53703-2996
(608) 417-8300

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
11918-33
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1164151643
WI
01
11918-33
WI DSPS
WI
Enumeration date
06/09/2022
Last updated
10/10/2023
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