Individual
MICHELE DANETTE SKOGLUND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3301 N BALLARD RD STE B, APPLETON, WI 54911-9002
(920) 753-8816
Mailing address
3210 E CANVASBACK LN, APPLETON, WI 54913-8011
(920) 731-0609
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
149508-30
WI
Other
Enumeration date
08/03/2017
Last updated
08/03/2017
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