Individual
MRS. MICHELLE L JAHNKE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2976 WHITE BIRCH ST, KAUKAUNA, WI 54130-3945
(920) 759-0588
(920) 759-0588
Mailing address
2976 WHITE BIRCH ST, KAUKAUNA, WI 54130-3945
(920) 759-0588
(920) 759-0588
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
131792
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38246200
—
WI
Enumeration date
11/18/2005
Last updated
07/08/2007
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