Individual
CALLI WACHOWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4603 LAURIE LN, TWO RIVERS, WI 54241-1041
(920) 860-3053
Mailing address
4603 LAURIE LN, TWO RIVERS, WI 54241-1041
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
218223
WI
Other
Enumeration date
03/27/2015
Last updated
03/27/2015
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