Individual
MARY R HERIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
762 ULAO PKWY S, GRAFTON, WI 53024-9741
(262) 377-4847
Mailing address
762 ULAO PKWY S, GRAFTON, WI 53024-9741
(262) 377-4847
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
79313-030
WI
Other
Enumeration date
11/30/2009
Last updated
11/30/2009
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