Individual
MOLLY MARIE BLEMKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
112 E 5TH AVE, ANTIGO, WI 54409-2710
(715) 623-9221
Mailing address
112 E 5TH AVE, ANTIGO, WI 54409-2710
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
11879-33
WI
Other
Enumeration date
03/03/2023
Last updated
03/03/2023
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