Individual
MARIANNE H MAINHARDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4061 OLD PESHTIGO RD, MARINETTE, WI 54143-3887
(715) 732-8000
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1565
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
36013400
—
WI
Enumeration date
09/27/2006
Last updated
10/21/2024
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