Individual
MICHELLE M MAHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
331 S MAIN ST, RICE LAKE, WI 54868-2253
(715) 236-8500
Mailing address
200 1ST ST SW, ROCHESTER, MN 55905-1510
(715) 838-5222
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
147336
WI
363L00000X
Nurse Practitioner
Primary
3805
WI
Other
Enumeration date
09/18/2009
Last updated
07/06/2021
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