Individual
MARY J HAMBURG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
1700 TUTTLE ST, BARABOO, WI 53913-3319
(608) 355-3800
(608) 355-7001
Mailing address
1700 TUTTLE ST, BARABOO, WI 53913-3319
(608) 355-3800
(608) 355-7001
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1877-033
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1841256385
—
WI
Enumeration date
04/25/2006
Last updated
01/22/2016
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