Individual
MRS. STEPHANIE E MERTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
910 E. PARADISE DR., WEST BEND, WI 53095
(262) 346-0953
(262) 334-1620
Mailing address
910 E. PARADISE DR., WEST BEND, WI 53095
(262) 346-0953
(262) 334-1620
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
3079973031
WI
Other
Enumeration date
09/05/2012
Last updated
09/05/2012
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