Individual
MIRANDA ROSE FRIEMEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
25559 HOCKEY AVE, TOMAH, WI 54660-6649
(608) 799-2217
Mailing address
25559 HOCKEY AVE, TOMAH, WI 54660-6649
(608) 799-2217
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
250505
WI
Other
Enumeration date
05/25/2024
Last updated
05/25/2024
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