BRENDA STALLBAUM

MANITOWOC, WI
NPI1124565882
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: WI  7373-33)
Enumeration Date2017-01-19
Last Update Date2019-06-21
Business Address
BRENDA STALLBAUM APNP
339 REED AVE
MANITOWOC, WI 54220-2020
Phone number: 920-320-8600
Mailing Address
BRENDA STALLBAUM APNP
PO BOX 2290
MANITOWOC, WI 54221-2290
Phone number: 920-320-2591