KATIE MARIE OMERNIK

WISCONSIN RAPIDS, WI
NPI1083132526
Former NameKATIE MARIE LASSA
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: WI  7916-33)
Enumeration Date2017-09-05
Last Update Date2018-12-20
Business Address
KATIE MARIE OMERNIK NP
2031 PEACH ST
WISCONSIN RAPIDS, WI 54494-5181
Phone number: 715-423-0122
Mailing Address
KATIE MARIE OMERNIK NP
2031 PEACH ST
WISCONSIN RAPIDS, WI 54494-5181
Phone number: 715-423-0122