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Individual

HEIDI RACQUEL WERNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3111 GUNDERSEN DR, ONALASKA, WI 54650-8447
(608) 775-8100
Mailing address
1836 SOUTH AVE, LA CROSSE, WI 54601-5429
(608) 782-7300

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
69422
WI
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
04/09/2015
Last updated
08/23/2018
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