Individual
BRIDGET K. LENZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
240 MAPLE AVE, PROHEALTH CARE MEDICAL ASSOICATES INC, MUKWONAGO, WI 53149-8475
(262) 928-1900
Mailing address
240 MAPLE AVE, PROHEALTH CARE MEDICAL ASSOICATES INC, MUKWONAGO, WI 53149-8475
(262) 928-1900
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
49786-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34738100
—
WI
Enumeration date
11/06/2006
Last updated
04/25/2012
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