Individual
COLTEN PETER THEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
1615 MAPLE LN, ASHLAND, WI 54806-3689
(715) 685-5500
Mailing address
1615 MAPLE LN, ASHLAND, WI 54806-3689
(715) 685-5240
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
11927-33
WI
Other
Enumeration date
04/30/2022
Last updated
05/05/2022
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