Individual
PENNIE ANN SLADKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
171183 STATE HIGHWAY 52, ANIWA, WI 54408-5840
(715) 302-5688
Mailing address
171183 STATE HIGHWAY 52, ANIWA, WI 54408-5840
(715) 302-5688
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
221462-30
WI
Other
Enumeration date
12/06/2018
Last updated
12/06/2018
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