Individual
MICHELLE ANN DEAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
N3279 STATE ROAD 110, WEYAUWEGA, WI 54983-8758
(920) 407-2140
Mailing address
N3279 STATE ROAD 110, WEYAUWEGA, WI 54983-8758
(920) 407-2140
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
170493-30
WI
Other
Enumeration date
01/25/2010
Last updated
01/25/2010
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