Individual
LESLIE CAROLE METZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2272 JACKSON ST, STOUGHTON, WI 53589-5402
(608) 577-7800
Mailing address
2272 JACKSON ST, STOUGHTON, WI 53589-5402
(608) 577-7800
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
199888-30
WI
Other
Enumeration date
04/16/2014
Last updated
04/16/2014
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