Individual
MRS. SAMANTHA LYNN HARTKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
333 PINE RIDGE BLVD, WAUSAU, WI 54401
(715) 847-2121
Mailing address
7602 STARFLOWER DR, WAUSAU, WI 54401-8588
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
9199-33
WI
Other
Enumeration date
01/17/2018
Last updated
04/13/2019
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