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PEGGY L TAUBENHEIM

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
R.N.

Contact information

Practice address
26211 W LOOMIS RD, WIND LAKE, WI 53185-1461
(262) 895-2086
(262) 895-2086
Mailing address
26211 W LOOMIS RD, WIND LAKE, WI 53185-1461
(262) 895-2086
(262) 895-2086

Taxonomy

Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
39988900
WI
Enumeration date
04/07/2006
Last updated
07/08/2007
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