Individual
MRS. MERRI ANN GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4279 VESELY RD, SHELL LAKE, WI 54871-8105
(715) 349-5852
Mailing address
4279 VESELY RD, SHELL LAKE, WI 54871-8105
(715) 349-5852
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041224244
IL
163W00000X
Registered Nurse
127272-030
WI
163W00000X
Registered Nurse
28092296A
IN
Other
Enumeration date
12/17/2008
Last updated
12/17/2008
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