Individual
MARSHA SUE MUENCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1304 S 19TH ST, SHEBOYGAN, WI 53081-5134
(920) 457-1804
Mailing address
1304 S 19TH ST, SHEBOYGAN, WI 53081-5134
(920) 457-1804
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
—
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
35050100
—
WI
Enumeration date
02/14/2008
Last updated
02/14/2008
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