Individual
MRS. JESSICA M SICZKOWYCZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPM, LM
Contact information
Practice address
N1670 WASHINGTON AVE, LAKE GENEVA, WI 53147-4071
(262) 903-3912
Mailing address
N1670 WASHINGTON AVE, LAKE GENEVA, WI 53147-4071
(262) 903-3912
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
24
WI
Other
Enumeration date
07/06/2016
Last updated
07/06/2016
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