Individual
MISS PATRICIA LYNN KLUCARICH
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
W11097 US HIGHWAY 8, TRIPOLI, WI 54564-9571
(715) 564-7866
Mailing address
W11097 US HIGHWAY 8, TRIPOLI, WI 54564-9571
(715) 564-7866
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
—
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38332500
—
WI
Enumeration date
03/23/2006
Last updated
07/09/2007
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