Individual
MARISSA J KLINKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
1020 35TH ST, KENOSHA, WI 53140-1932
(262) 652-3500
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
7937
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100071728
—
WI
Enumeration date
09/13/2017
Last updated
10/20/2023
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