Organization
TOLSMA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GRETCHEN L TOLSMA APNP (OWNER)
(715) 623-3761
Entity
Organization
Contact information
Practice address
1111 LANGLADE RD, ANTIGO, WI 54409-2738
(715) 623-3761
(715) 623-3764
Mailing address
1111 LANGLADE RD, ANTIGO, WI 54409-2738
(715) 623-3761
(715) 623-3764
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1399033
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43895600
—
WI
Enumeration date
02/05/2009
Last updated
03/04/2009
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