ELLEN MAUREEN LATSCH

EAU CLAIRE, WI
NPI1487837001
Other NameELLEN MAUREEN FONVILLE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LX0001X Nurse Practitioner, Obstetrics & Gynecology
(Licence: WI  521)
Additional Taxonomies163W00000X Registered Nurse
(Licence: MN  R1692077)
363LX0001X Nurse Practitioner, Obstetrics & Gynecology
(Licence: MN  LAT104292845)
Enumeration Date2007-12-06
Last Update Date2011-08-15
Business Address
-- ELLEN MAUREEN LATSCH CNP RNC
2116 CRAIG RD
EAU CLAIRE, WI 54701-6149
Phone number: 715-858-4500
Mailing Address
-- ELLEN MAUREEN LATSCH CNP RNC
1000 N OAK AVE
MARSHFIELD, WI 54449-5703
Phone number: 715-387-5511