Individual
EMMA NOELLE SOWIEJA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1501 PARK AVE, COLUMBUS, WI 53925-1618
(920) 623-5559
Mailing address
640 W WILSON ST UNIT 504, MADISON, WI 53703-3611
(715) 432-7210
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/15/2018
Last updated
04/15/2018
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