Individual
MARY C. DUTKIEWICZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
3805A SPRING ST, STE 310, RACINE, WI 53405-1600
(262) 687-8260
Mailing address
3805A SPRING ST, STE 310, RACINE, WI 53405-1600
(262) 687-8260
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1700-033
WI
Other
Enumeration date
07/26/2006
Last updated
07/08/2007
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