Individual
ALLISON L STALLBOHM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
1501 S MADISON ST, APPLETON, WI 54915-1846
(920) 730-4414
Mailing address
1501 S MADISON ST, APPLETON, WI 54915-1846
(920) 730-4414
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
144714
WI
Other
Enumeration date
08/02/2012
Last updated
05/14/2021
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