Individual
MRS. DEBRA J HENKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
W8911 COUNTY RD W, ANTIGO, WI 54409-9034
(715) 627-0384
Mailing address
W8911 CTY RD W, ANTIGO, WI 54409-9034
(715) 627-0384
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
158495
WI
Other
Enumeration date
07/20/2009
Last updated
07/23/2009
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