Individual
MS. BOBBI ANN STOLTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
412 W NEBRASKA ST, MUSCODA, WI 53573
(608) 604-0770
Mailing address
412 W NEBRASKA ST, MUSCODA, WI 53573
(608) 604-0770
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
302835-031
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
35006200
—
WI
Enumeration date
05/15/2007
Last updated
05/04/2010
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