Individual
TIFFANY LYNN MLODZIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
430 E DIVISION ST, FOND DU LAC, WI 54935-4560
(920) 923-7940
Mailing address
430 E DIVISION ST, FOND DU LAC, WI 54935-4560
(920) 923-7940
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
15276-33
WI
Other
Enumeration date
04/24/2024
Last updated
04/24/2024
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