Individual
KACI LEE TOLZMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
107 OAK ST W STE 100, FREDERIC, WI 54837-9049
(715) 318-0916
Mailing address
2310 280TH ST, CLEAR LAKE, WI 54005-4417
(715) 205-2786
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
16639-33
WI
363LF0000X
Family Nurse Practitioner
Primary
16639-33
WI
Other
Enumeration date
03/25/2019
Last updated
05/27/2025
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