Individual
HEATHER PAWLAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
1615 MAPLE LN, ASHLAND, WI 54806-3689
(715) 685-5500
Mailing address
1615 MAPLE LN, ASHLAND, WI 54806-3626
(715) 685-5500
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
11913-33
WI
363LF0000X
Family Nurse Practitioner
4708738424
MI
Other
Enumeration date
08/05/2022
Last updated
08/05/2022
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