Individual
DR. NINA WOKHLU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
704 S WEBSTER AVE, GREEN BAY, WI 54301-3528
(920) 433-3640
(920) 433-3716
Mailing address
200 E WASHINGTON ST, P O BOX 8031, APPLETON, WI 54911-5490
(888) 505-0558
(920) 739-0124
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
48832-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34824000
—
WI
Enumeration date
05/30/2006
Last updated
07/09/2007
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