Individual
MRS. SAMANTHA J MATHWICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1681 8TH AVE, EDGAR, WI 54426-9407
(715) 573-9666
Mailing address
1681 8TH AVE, EDGAR, WI 54426-9407
(715) 573-9666
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
167879-30
WI
Other
Enumeration date
11/09/2010
Last updated
11/09/2010
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