Individual
MARISSA MARIE DRAXLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
M406 BIRCH ST, MARSHFIELD, WI 54449-9241
(715) 305-8827
Mailing address
M406 BIRCH ST, MARSHFIELD, WI 54449-9241
(715) 305-8827
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
222368
WI
163WN0002X
Neonatal Intensive Care Registered Nurse
Primary
222368
WI
Other
Enumeration date
11/17/2018
Last updated
11/17/2018
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