Individual
MRS. MICHELLE JOY THEIGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
601 STRAW ST, TOMAH, WI 54660-1173
(608) 374-0250
Mailing address
320 E PARK ST, WESTBY, WI 54667-1139
(608) 606-2178
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
10738-33
WI
Other
Enumeration date
03/12/2021
Last updated
03/12/2021
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