Individual
HEATHER L RUNGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
600 W SHELL CREEK RD, MINONG, WI 54859-9145
(715) 466-2201
(715) 466-2205
Mailing address
600 W SHELL CREEK RD, MINONG, WI 54859-9145
(715) 466-2201
(715) 466-2205
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
1413
WI
Other
Enumeration date
07/12/2006
Last updated
07/09/2007
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