Individual
BROOKE FELTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3154 N SHORE DR, STEVENS POINT, WI 54481-9563
(715) 323-7838
Mailing address
3154 N SHORE DR, STEVENS POINT, WI 54481-9563
(715) 323-7838
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
317882-31
WI
Other
Enumeration date
02/19/2014
Last updated
02/20/2014
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