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Individual

MRS. AMY P WACHTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP-F

Contact information

Practice address
257 W SAINT GEORGE AVE, GRANTSBURG, WI 54840-7827
(715) 463-5353
(715) 463-2753
Mailing address
257 W SAINT GEORGE AVE, GRANTSBURG, WI 54840-7827
(715) 463-5353

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3895
WI
363LF0000X
Family Nurse Practitioner
R 156786-9
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1689806622
WI
Enumeration date
08/10/2009
Last updated
04/03/2018
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