Individual
ANGELA G SEAGREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CH
Contact information
Practice address
1216 MARK AVE, TOMAH, WI 54660-1199
(608) 547-4722
Mailing address
N7364 15TH AVE, NEW LISBON, WI 53950-9673
(608) 547-4722
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
175886-30
WI
Other
Enumeration date
07/26/2013
Last updated
07/26/2013
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