Individual
SANDRA DUERST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
S10303A SKUNK VALLEY RD, SAUK CITY, WI 53583-9661
(608) 225-9475
Mailing address
S10303A SKUNK VALLEY RD, SAUK CITY, WI 53583-9661
(608) 225-9475
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
173273-30
WI
Other
Enumeration date
03/31/2012
Last updated
03/31/2012
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