Individual
MRS. MARJORIE PAULINE RETZLAFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
719 N 3RD AVE, WAUSAU, WI 54401-2965
(715) 675-9858
Mailing address
N3395 COUNTY ROAD I, CATAWBA, WI 54515-9415
(715) 474-2264
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
145353-30
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42005000
—
WI
Enumeration date
02/10/2010
Last updated
02/10/2010
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