Individual
EMILY HERZOG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
7248 SQUIRE CIR, MIDDLETON, WI 53562
(920) 627-1865
Mailing address
7248 SQUIRE CIR, MIDDLETON, WI 53562-4251
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5910
WI
Other
Enumeration date
09/20/2014
Last updated
06/14/2019
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