Individual
MISS GRETCHEN ELIZABETH ROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
107 N FARM RD APT 117, OCONTO FALLS, WI 54154-1232
(715) 305-6246
Mailing address
107 N FARM RD APT 117, OCONTO FALLS, WI 54154-1232
(715) 305-6246
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
171585030
WI
Other
Enumeration date
04/23/2010
Last updated
04/23/2010
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