Individual
DEBORAH A HERCZOG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.N., A.N.P.
Contact information
Practice address
328 FRONT ST S, LA CROSSE, WI 54601-4023
(608) 783-7560
Mailing address
N2994 PEBBLE VALLEY RD, STODDARD, WI 54658-9018
(608) 787-0172
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
531773
TX
Other
Enumeration date
02/08/2007
Last updated
07/08/2007
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