Individual
MRS. JODY MUTEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, BSN
Contact information
Practice address
416 NIAGARA STREET, KIEL, WI 53042
(920) 627-4641
Mailing address
416 NIAGARA STREET, KIEL, WI 53042
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
126952-30
WI
Other
Enumeration date
04/16/2014
Last updated
04/16/2014
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