Individual
CORA FIETZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
333 PINE RIDGE BLVD, WAUSAU, WI 54401-4187
(715) 675-5288
Mailing address
1441 MADISON ST, WAUSAU, WI 54401-5859
(920) 750-9770
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
16375-22
WI
Other
Enumeration date
01/15/2025
Last updated
01/15/2025
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