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Individual

CONNIE ERNSER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
459 E 1ST ST, FOND DU LAC, WI 54935-4505
(920) 929-3500
(920) 929-3129
Mailing address
459 E 1ST ST, FOND DU LAC, WI 54935-4505
(920) 929-3500
(920) 929-3129

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
75647-30
WI

Other

Enumeration date
07/31/2018
Last updated
07/31/2018
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