Individual
THERESE MURKOWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
213 LAVINA DR APT 7, WAUSAU, WI 54401-3886
(715) 302-8836
Mailing address
213 LAVINA DR APT 7, WAUSAU, WI 54401-3886
(715) 302-8836
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
177067
WI
Other
Enumeration date
08/27/2014
Last updated
08/27/2014
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