KATHERINE ELIZABETH PROVAZNIK

LA CROSSE, WI
NPI1376002311
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: WI  2974)
Additional Taxonomies2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: OH  34.014822)
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2019-03-19
Last Update Date2024-08-02
Business Address
KATHERINE ELIZABETH PROVAZNIK DO
700 WEST AVE S
LA CROSSE, WI 54601-4783
Phone number: 608-785-0940
Mailing Address
KATHERINE ELIZABETH PROVAZNIK DO
200 1ST ST SW
ROCHESTER, MN 55905-0001
Phone number: 507-284-2511