Individual
MARK NORMAN MOLDENHAUER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
N6260 COLWELL RD, TAYLOR, WI 54659-6204
(715) 662-2062
(715) 662-2062
Mailing address
N6260 COLWELL RD, TAYLOR, WI 54659-6204
(715) 662-2062
(715) 662-2062
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
161951-30
WI
Other
Enumeration date
02/13/2019
Last updated
03/07/2019
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