Individual
KATHLEEN MARIE BOETTCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3509 DEWEY ST, MANITOWOC, WI 54220-5813
(920) 686-5731
(920) 686-5726
Mailing address
3509 DEWEY ST, MANITOWOC, WI 54220-5813
(920) 686-5731
(920) 686-5726
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
6578
WI
Other
Enumeration date
08/19/2015
Last updated
11/23/2021
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