Organization
ROCKFORD RN FIRST ASSISTANT, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN R KUTZ RN (PRESIDENT)
(920) 451-8142
Entity
Organization
Contact information
Practice address
6785 WEAVER RD, STE D, ROCKFORD, IL 61114-8055
(920) 451-8142
Mailing address
6785 WEAVER RD, STE D, ROCKFORD, IL 61114-8055
(920) 451-8142
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
—
—
Other
Enumeration date
08/03/2006
Last updated
08/22/2020
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