Individual
MRS. MICHELLE A. FILLMAN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1516 DEVALERA DR., 101, PLATTEVILLE, WI 53818-1479
(608) 348-8369
Mailing address
PO BOX 263, WATERLOO, WI 53594-0263
(800) 850-5037
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
—
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38342200
—
WI
Enumeration date
05/03/2006
Last updated
07/08/2007
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