Individual
STEPHANIE JO KOLASKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
W2798 SILVER LN, BONDUEL, WI 54107-9148
(920) 606-9360
Mailing address
W2798 SILVER LN, BONDUEL, WI 54107-9148
(920) 606-9360
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
250160
WI
Other
Enumeration date
05/18/2023
Last updated
05/18/2023
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