Individual
OWEN RICHARD ELIZONDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN, TCRN
Contact information
Practice address
2000 N DEWEY AVE, REEDSBURG, WI 53959-1049
(608) 888-2696
Mailing address
208 LOCUST ST, BARABOO, WI 53913-1118
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
1103147-30
WI
Other
Enumeration date
06/01/2026
Last updated
06/01/2026
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