Individual
MRS. MARTHA GRACE COURTRIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11134 N STATE ROAD 77, HAYWARD, WI 54843-5325
(715) 634-5505
Mailing address
SSB-6, 400 E 3RD ST, DULUTH, MN 55805-1951
(218) 786-8364
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
7257320
WI
Other
Enumeration date
03/27/2018
Last updated
10/04/2021
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