Individual
JOHN STOLZMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
911 SUMNER ST, WAUSAU, WI 54403-6554
(715) 845-6107
Mailing address
911 SUMNER ST, WAUSAU, WI 54403-6554
(715) 845-6107
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
304695-31
WI
Other
Enumeration date
12/16/2013
Last updated
12/16/2013
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