Individual
ELIZABETH ROSE FEDJE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
300 S CENTER ST, FAIRCHILD, WI 54741-8280
(715) 566-3754
Mailing address
PO BOX 106, FAIRCHILD, WI 54741-0106
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
315977-31
WI
Other
Enumeration date
08/11/2018
Last updated
08/11/2018
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