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Individual

TAMMY BRANT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
N6654 ROLLING MEADOWS DR, FOND DU LAC, WI 54937-9471
(920) 906-5100
Mailing address
N6654 ROLLING MEADOWS DR, FOND DU LAC, WI 54937-9471

Taxonomy

Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
177471-30
WI

Other

Enumeration date
06/19/2012
Last updated
06/19/2012
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