Individual
MRS. MELISSA R STUCZYNSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
3301 N BALLARD RD STE B, APPLETON, WI 54911-9002
(920) 733-4443
Mailing address
N7240 OAK RIDGE RD, IOLA, WI 54945-9021
(715) 572-0084
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
319706
WI
Other
Enumeration date
02/12/2020
Last updated
02/12/2020
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