Individual
MATT PENZENSTADLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BSN, SRNA
Contact information
Practice address
3007 NORTH CT APT 108, ONALASKA, WI 54650-3709
(612) 998-9417
Mailing address
3007 NORTH CT APT 108, ONALASKA, WI 54650-3709
(612) 998-9417
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
266097
WI
Other
Enumeration date
01/13/2025
Last updated
01/13/2025
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