Individual
TODD ALAN JUDKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1669 CHURCH ST, MARINETTE, WI 54143-3452
(920) 391-9689
Mailing address
1669 CHURCH ST, MARINETTE, WI 54143-3452
(920) 391-9689
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
222229
WI
Other
Enumeration date
10/02/2017
Last updated
10/02/2017
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