Individual
MEGAN R DIENER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
912 S HICKORY ST, FOND DU LAC, WI 54935-5530
(920) 907-3922
(920) 929-7392
Mailing address
420 E DIVISION ST, FOND DU LAC, WI 54935-4560
(920) 907-3922
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
5454-33
WI
Other
Enumeration date
09/11/2013
Last updated
11/17/2020
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