Individual
MADELINE WERNSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1307 E MCCORD ST, CENTRALIA, IL 62801-3610
(618) 899-9200
Mailing address
1307 E MCCORD ST, CENTRALIA, IL 62801-3610
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209026052
IL
Other
Enumeration date
12/06/2022
Last updated
12/06/2022
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