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Individual

MS. MICHELE R SOBECK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APNP

Contact information

Practice address
3003 UNIVERSITY DR, MARINETTE, WI 54143-4110
(715) 735-4690
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3463
WI
363LF0000X
Family Nurse Practitioner
3463-33
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
36088700
WI
Enumeration date
08/15/2008
Last updated
08/19/2024
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