Individual
BRIDGET IRELAND KONSITZKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
16545 492ND LN, LUCAS, IA 50151-8402
(734) 674-2587
Mailing address
16545 492ND LN, LUCAS, IA 50151-8402
(734) 674-2587
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
129144
IA
Other
Enumeration date
03/22/2023
Last updated
03/22/2023
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