Individual
CYNTHIA JEAN MEIDAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
N4502 PINE RIDGE RD, SHAWANO, WI 54166-6117
(715) 526-5149
Mailing address
N4502 PINE RIDGE RD, SHAWANO, WI 54166-6117
(715) 526-5149
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
23419
WI
Other
Enumeration date
02/19/2024
Last updated
02/19/2024
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