Individual
CAROLINE T NOWAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP BC
Contact information
Practice address
135 S GIBSON ST, MEDFORD, WI 54451
(715) 748-8100
Mailing address
135 S GIBSON ST, MEDFORD, WI 54451
(715) 748-8100
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
6111-33
WI
Other
Enumeration date
12/23/2014
Last updated
02/13/2019
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