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Individual

MARGARET ANN ROBERTS

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
RN.

Contact information

Practice address
513 DESNOYER STREET, KAUKAUNA, WI 54130
(920) 766-5416
Mailing address
513 DESNOYER STREET, KAUKAUNA, WI 54130
(920) 766-5416

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
75772-030
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
38296000
PROVIDER NUMBER
WI
01
75772-030
RN NURSE LICENSE NUMBER
WI
Enumeration date
05/10/2006
Last updated
07/08/2007
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