Individual
MS. CONNIE LYNN FIEGEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
950 WILCOX ST, WAUPUN, WI 53963-2283
(920) 324-2901
Mailing address
124 W 3RD ST, BEAVER DAM, WI 53916-2054
(920) 885-6563
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
586-026
WI
Other
Enumeration date
12/20/2006
Last updated
07/08/2007
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