Individual
MICHELE MARIE STIEMKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
300 GIBSON ST APT B, MUKWONAGO, WI 53149-1340
(262) 305-2280
Mailing address
300 GIBSON ST APT B, MUKWONAGO, WI 53149-1340
(262) 305-2280
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
21730-031
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21730-031
STATE LICENSE
WI
Enumeration date
02/16/2007
Last updated
06/06/2011
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