Individual
MARY A TEMPLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2440 W MASON ST, SUITE 3, GREEN BAY, WI 54303-4711
(920) 499-5920
Mailing address
2440 W MASON ST, SUITE 3, GREEN BAY, WI 54303-4711
(920) 499-5920
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3313-033
WI
Other
Enumeration date
01/28/2008
Last updated
01/28/2008
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