Individual
HEIDI NOWITZKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3200 WESTHILL DR, WAUSAU, WI 54401-4705
(715) 847-2827
Mailing address
5811 NORMANDY ST, WESTON, WI 54476-3559
(715) 630-6521
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1253
MT
Other
Enumeration date
05/13/2010
Last updated
06/25/2014
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