Individual
KATHLEEN M WACKERLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1833 THORSTRAND RD, MADISON, WI 53705-1052
(608) 220-1646
Mailing address
1833 THORSTRAND RD, MADISON, WI 53705-1052
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1339
WI
363L00000X
Nurse Practitioner
93917
WI
Other
Enumeration date
03/28/2006
Last updated
09/14/2022
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