Individual
MS. MARY ELLEN CIESLAK
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
7568 S 74TH ST, FRANKLIN, WI 53132-9756
(414) 425-6427
Mailing address
7568 S 74TH ST, FRANKLIN, WI 53132-9756
(414) 425-6427
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
73707-030
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38204600
—
WI
Enumeration date
04/03/2006
Last updated
07/09/2007
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