Individual
MRS. MICHELLE LEANNE DRAHEIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
601 FIELD CREST LN, BLACK CREEK, WI 54106-9729
(920) 984-4243
(920) 984-4243
Mailing address
601 FIELD CREST LN, BLACK CREEK, WI 54106-9729
(920) 984-4243
(920) 984-4243
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
167401-030
WI
Other
Enumeration date
10/16/2009
Last updated
10/16/2009
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