Individual
DOREEN JANE UICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
5735 DURAND AVE, MOUNT PLEASANT, WI 53406-5011
(262) 355-4579
Mailing address
5735 DURAND AVE, MOUNT PLEASANT, WI 53406-5011
(262) 355-4579
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
114518-30
WI
Other
Enumeration date
12/07/2018
Last updated
12/07/2018
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