Individual
LINDA DEKEYSER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1928 CEDAR CIR, STURGEON BAY, WI 54235-8372
(920) 825-1255
Mailing address
9729 SCHOOL RD, BRUSSELS, WI 54204-9502
(920) 825-1255
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
26095-031
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39970500
—
WI
Enumeration date
02/27/2007
Last updated
07/09/2007
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