Individual
PAMELA STOUTENBURG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CDE, RN
Contact information
Practice address
403 STAGELINE RD, HUDSON, WI 54016-1789
(715) 531-6800
Mailing address
403 STAGELINE RD, HUDSON, WI 54016-1789
(715) 531-6800
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
Primary
152026
WI
Other
Enumeration date
11/05/2018
Last updated
11/05/2018
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