Individual
MS. LINDA GAY ZIESMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
5540 BURG RD, LENA, WI 54139-9432
(920) 373-5704
Mailing address
5540 BURG RD, LENA, WI 54139-9432
(920) 373-5704
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
14639-030
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
35054300
—
WI
Enumeration date
05/29/2009
Last updated
05/29/2009
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