Individual
STEPHANIE WANEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
800 COMPASSION WAY, DODGEVILLE, WI 53533-1956
(608) 930-7114
Mailing address
33822 BUCKEYE LN, BLUE RIVER, WI 53518-8124
(608) 604-2304
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
9308-33
WI
Other
Enumeration date
06/25/2019
Last updated
06/25/2019
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