Individual
SANDRA KUNTZE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
W5149 COUNTY ROAD 366, DAGGETT, MI 49821-9618
(715) 923-4982
Mailing address
W5149 COUNTY ROAD 366, DAGGETT, MI 49821-9618
(715) 923-4982
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
117082-30
WI
163W00000X
Registered Nurse
4704208826
MI
Other
Enumeration date
10/17/2012
Last updated
10/17/2012
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