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Individual

SHAWN M VAN ERT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ADN

Contact information

Practice address
1407 SAINT ANDREW ST STE 100, LA CROSSE, WI 54603-2378
(608) 785-6233
Mailing address
409 WALNUT DR, HOLMEN, WI 54636-9605
(608) 792-7747

Taxonomy

Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
157528-30
WI

Other

Enumeration date
12/05/2007
Last updated
12/05/2007
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