Individual
MRS. CARMEN MARIE GROEHLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
N500 WILEY RD, WATERTOWN, WI 53098-4835
(920) 925-3450
Mailing address
N 500 WILEY ROAD, WATERTOWN, WI 53098
(920) 925-3450
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
167621030
WI
Other
Enumeration date
02/23/2010
Last updated
02/23/2010
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