Individual
MRS. DONNA JANE ZIELKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
W4153 APPLE AVE, MEDFORD, WI 54451-9219
(715) 678-2543
Mailing address
W4153 APPLE AVE, MEDFORD, WI 54451-9219
(715) 678-2543
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
314412
WI
Other
Enumeration date
01/13/2012
Last updated
01/13/2012
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