Individual
MRS. JUDY CAROLYN MARSCHALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
89 AURORA LN, FOND DU LAC, WI 54935-2855
(920) 960-3168
Mailing address
89 AURORA LN, FOND DU LAC, WI 54935-2855
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
28295-031
WI
Other
Enumeration date
07/23/2013
Last updated
07/23/2013
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