Individual
MS. ANGELA ROSE POULOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
9900 BREN RD E, MINNETONKA, MN 55343-9664
(920) 547-0555
Mailing address
925 W PARK LN, KOHLER, WI 53044-1451
(906) 370-7242
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4782-33
WI
Other
Enumeration date
02/27/2012
Last updated
07/31/2020
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