Individual
DANA IRMICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
450 OLD ABE RD, LAC DU FLAMBEAU, WI 54538-9682
(715) 588-3371
(715) 588-7884
Mailing address
450 OLD ABE RD, LAC DU FLAMBEAU, WI 54538-9682
(715) 588-3371
(715) 588-7884
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2903
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
36011200
—
WI
Enumeration date
08/14/2006
Last updated
06/30/2008
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