Individual
MASIN KETTNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3201 EATON RD, GREEN BAY, WI 54311-6830
(920) 433-6699
Mailing address
W7337 WEGE RD, HORTONVILLE, WI 54944-9723
(920) 538-1230
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1105280
WI
Other
Enumeration date
10/30/2025
Last updated
10/30/2025
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