Individual
MRS. TONYA JO VIKE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1851 HAMMOND RD, EDGERTON, WI 53534-9554
(608) 873-5272
Mailing address
1851 HAMMOND RD, EDGERTON, WI 53534-9554
(608) 873-5272
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
—
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3875098600
—
WI
05
—
3899885010
—
WI
Enumeration date
03/17/2006
Last updated
07/09/2007
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