Individual
PATRICIA A PORTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
N2372 RAUSCH RD, LODI, WI 53555-9751
(000) 000-0000
Mailing address
N2372 RAUSCH RD, LODI, WI 53555-9751
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1062
WI
Other
Enumeration date
04/18/2006
Last updated
07/10/2020
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