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Individual

MS. MARCELLA K TESKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APNP

Contact information

Practice address
1620 N SHAWANO ST STE C, NEW LONDON, WI 54961-9318
(920) 982-3870
(920) 982-3697
Mailing address
801 YORK ST, MANITOWOC, WI 54220-4630
(920) 683-5278
(920) 686-9674

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1443-033
WI
363LF0000X
Family Nurse Practitioner
1443-033
WI

Other

Enumeration date
08/09/2006
Last updated
02/24/2021
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