Individual
MRS. HEIDI LYNETTE WILDAUER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
W210N16480 DUNDEE CT, JACKSON, WI 53037-9348
(414) 698-8650
Mailing address
W210N16480 DUNDEE CT, JACKSON, WI 53037-9348
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
141626030
WI
Other
Enumeration date
07/29/2009
Last updated
07/29/2009
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