Individual
BONNIE MAY STEGALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
W3728 COUNTY ROAD P, WHITE LAKE, WI 54491-9761
(715) 216-4346
Mailing address
W3728 COUNTY ROAD P, WHITE LAKE, WI 54491-9761
(715) 216-4346
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
323099-31
WI
Other
Enumeration date
02/19/2019
Last updated
02/19/2019
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