Individual
AMANDA PAUTSCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
199 GUINDON BLVD, FOND DU LAC, WI 54935-6042
(920) 573-2446
Mailing address
199 GUINDON BLVD, FOND DU LAC, WI 54935-6042
(920) 573-2446
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
220802-30
WI
Other
Enumeration date
09/21/2015
Last updated
09/21/2015
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