Individual
MARIJO ANN ROMMELFAENGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
907 N BRITTON RD, UNION GROVE, WI 53182-9331
(262) 878-4288
Mailing address
907 N BRITTON RD, UNION GROVE, WI 53182-9331
(262) 878-4288
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
71631-030
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
35044500
—
WI
Enumeration date
04/14/2008
Last updated
04/14/2008
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