Individual
MARY E LIMBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NNP
Contact information
Practice address
975 PORT WASHINGTON RD, GRAFTON, WI 53024-9201
(262) 329-1000
Mailing address
975 PORT WASHINGTON RD, GRAFTON, WI 53024-9201
(262) 329-1000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
6150
WI
363LN0005X
Critical Care Neonatal Nurse Practitioner
6150-33
WI
Other
Enumeration date
12/08/2014
Last updated
05/19/2020
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