Individual
MR. WAYNE L ROOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.N.
Contact information
Practice address
391 TROUT BROOK TRL, HUDSON, WI 54016-6749
(715) 386-8683
Mailing address
391 TROUT BROOK TRL, HUDSON, WI 54016-6749
(715) 386-8683
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
—
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R097379-7
MN NURSING LICENSE
MN
Enumeration date
05/14/2007
Last updated
07/08/2007
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