Individual
INGA GRACE FRODL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
12419 E. STATELINE ROAD, SHARON, WI 53585
(262) 649-2881
Mailing address
12419 E. STATELINE ROAD, SHARON, WI 53585
(262) 649-2881
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
172813030
WI
Other
Enumeration date
08/09/2010
Last updated
08/09/2010
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