Individual
VICTORIA BUBOLZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3415 CUSTER ST STE C, MANITOWOC, WI 54220-4356
(920) 652-2240
Mailing address
3415 CUSTER ST STE C, MANITOWOC, WI 54220-4356
(920) 652-2240
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
176118-30
WI
Other
Enumeration date
04/11/2012
Last updated
04/11/2012
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