Individual
DANIELLE MARIE POLEGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
401 W MOHAWK DR, TOMAHAWK, WI 54487-2274
(715) 453-7700
Mailing address
401 W MOHAWK DR, TOMAHAWK, WI 54487-2274
(715) 453-7700
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
171656
WI
363LF0000X
Family Nurse Practitioner
Primary
9578-33
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F07191563
AANP
WI
Enumeration date
07/23/2019
Last updated
11/20/2019
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