Individual
DIANA CZECH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4920 S 84TH ST, GREENFIELD, WI 53228-3406
(414) 585-9292
Mailing address
4920 S 84TH ST, GREENFIELD, WI 53228-3406
(414) 585-9292
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
88043
WI
Other
Enumeration date
04/11/2018
Last updated
04/11/2018
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