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Organization

WISCONSIN RESOURCE CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KARIN ZODROW (APNP)
(920) 426-4310
Entity
Organization

Contact information

Practice address
1505 NORTH DRIVE, WINNEBAGO, WI 54985-0016
(920) 426-4310
Mailing address
1470 FAIRFAX ST, OSHKOSH, WI 54904-7441
(920) 379-1250

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary

Other

Enumeration date
09/17/2021
Last updated
09/17/2021
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