Individual
MS. JOAN M WACHTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
11216 FAIRWAY RD, SPARTA, WI 54656-3568
(608) 269-3822
Mailing address
11216 FAIRWAY RD, SPARTA, WI 54656-3568
(608) 269-3822
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
131766-030
WI
Other
Enumeration date
02/10/2009
Last updated
02/10/2009
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