Individual
MS. DEBORAH K STOCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
N848 CTY RD W, CAMPBELLSPORT, WI 53010-2402
(920) 533-3004
Mailing address
N848 CTY RD W, CAMPBELLSPORT, WI 53010-2402
(920) 533-3004
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
307934-031
WI
Other
Enumeration date
05/18/2009
Last updated
05/18/2009
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