Individual
COLLEEN A DUCKWITZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4593 COUNTY ROAD B, OREGON, WI 53575-2248
(608) 835-0086
Mailing address
4593 COUNTY ROAD B, OREGON, WI 53575-2248
(608) 835-0086
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
59927-030
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
35065800
—
WI
Enumeration date
08/25/2008
Last updated
08/25/2008
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