Individual
TIKVAH ROSE SAIDLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
211 W PLEASANT ST, PORTAGE, WI 53901-1744
(608) 402-3079
Mailing address
211 W PLEASANT ST, PORTAGE, WI 53901-1744
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/03/2019
Last updated
07/03/2019
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