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1457096810
COLTEN PETER THEWIS
ASHLAND, WI
NPI
1457096810
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: WI 11927-33)
Enumeration Date
2022-04-30
Last Update Date
2022-05-05
Business Address
COLTEN PETER THEWIS FNP
1615 MAPLE LN
ASHLAND, WI 54806-3689
Phone number: 715-685-5500
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Mailing Address
COLTEN PETER THEWIS FNP
1615 MAPLE LN
ASHLAND, WI 54806-3689
Phone number: 715-685-5240
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