Individual
LIVIA MONA WIEMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4391 PARKLAWN DR, WINDSOR, WI 53598-9788
(608) 572-0304
Mailing address
1112 BROADWAY DR, SUN PRAIRIE, WI 53590-1090
(608) 358-8191
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
158884-30
WI
Other
Enumeration date
08/13/2012
Last updated
08/13/2012
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