Individual
MARY K BECK METZGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
1541 ANNEX RD, JEFFERSON, WI 53549-9803
(920) 674-7442
(920) 674-7460
Mailing address
1541 ANNEX RD, JEFFERSON, WI 53549-9803
(920) 674-7442
(920) 674-7460
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1895-33
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1039346
PHYSICIANS PLUS
WI
05
—
43944300
—
WI
Enumeration date
05/15/2006
Last updated
03/19/2020
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