Individual
ERIN-KIRSTI COLSTAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
203 S MAIN ST, #1, COTTAGE GROVE, WI 53527-8301
(608) 280-1277
Mailing address
203 S MAIN ST, #1, COTTAGE GROVE, WI 53527-8301
(608) 280-1277
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
131506-030
WI
Other
Enumeration date
05/21/2012
Last updated
05/21/2012
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