Individual
MARCIE ANN JANZ
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
481 E DIVISION ST, SUITE 100, FOND DU LAC, WI 54935-3748
(920) 929-8120
(920) 929-8126
Mailing address
481 E DIVISION ST, SUITE 100, FOND DU LAC, WI 54935-3748
(920) 929-8120
(920) 929-8126
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
28
WI
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
28
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43817600
—
WI
Enumeration date
08/30/2005
Last updated
09/11/2025
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