Individual
MRS. MARISA RENEE OPSAHL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
N896 KRANZ RD, COLUMBUS, WI 53925-9726
(608) 669-0182
Mailing address
N896 KRANZ RD, COLUMBUS, WI 53925-9726
(608) 669-0182
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
199198-30
WI
Other
Enumeration date
02/03/2014
Last updated
02/03/2014
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