Individual
MRS. MICHELLE LEANNE HOLLATZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
630 RANGELINE RD, AUBURNDALE, WI 54412-9456
(715) 384-2281
Mailing address
630 RANGELINE RD, AUBURNDALE, WI 54412-9456
(715) 384-2281
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
124277
WI
Other
Enumeration date
11/30/2010
Last updated
11/30/2010
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