Individual
LAURA A WILZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2815 UNIVERSITY AVE, GREEN BAY, WI 54311-5946
(920) 431-2487
(920) 431-2744
Mailing address
2815 UNIVERSITY AVE, GREEN BAY, WI 54311-5946
(920) 431-2487
(920) 431-2744
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
142107
WI
Other
Enumeration date
01/03/2020
Last updated
01/03/2020
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