Individual
MRS. DIANA LOUISE SHAGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
2801 13TH ST, MONROE, WI 53566-2243
(608) 325-2757
Mailing address
7601 W COUNTY ROAD M, GRATIOT, WI 53541-9731
(608) 968-3466
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
—
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
35032900
—
WI
Enumeration date
08/07/2007
Last updated
08/07/2007
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