Individual
DEBORAH WESSBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSN, RN,CDE
Contact information
Practice address
200 WOODLAND PRIME, MENOMONEE FALLS, WI 53051-4476
(414) 777-1206
(414) 777-3767
Mailing address
200 WOODLAND PRIME, MENOMONEE FALLS, WI 53051-4476
(414) 777-1206
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
Primary
139940-30
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
139940-30
REGISTERED NURSE
WI
Enumeration date
01/30/2019
Last updated
01/30/2019
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