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Individual

JADE ALTMAN MIKSHOWSKY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DNP, APRN

Contact information

Practice address
1580 HERITAGE BLVD, WEST SALEM, WI 54669-9418
(608) 518-3410
Mailing address
309 LARK LN, WEST SALEM, WI 54669-1243
(507) 251-7145

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
12222
WI
363L00000X
Nurse Practitioner
5911
MN

Other

Enumeration date
04/15/2018
Last updated
05/15/2024
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