Individual
MRS. WENDY JO LINDHOLM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9130 N FULTON ST, EDGERTON, WI 53534-9784
(920) 296-8664
Mailing address
9130 N FULTON ST, EDGERTON, WI 53534-9784
(920) 296-8664
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
154358
WI
Other
Enumeration date
05/19/2015
Last updated
05/19/2015
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