Individual
MRS. STEPHANIE MARIE BUCHHOLTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4923 BIG BEND RD, WATERFORD, WI 53185-3542
(262) 534-4963
Mailing address
4923 BIG BEND RD, WATERFORD, WI 53185-3542
(262) 534-4963
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
97425-030
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
39850400
RN PRIVATE DUTY
WI
Enumeration date
09/30/2006
Last updated
07/08/2007
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