TIMOTHY DETERS

MADISON, WI
NPI1619136264
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: WI  31514-31)
Enumeration Date2008-06-07
Last Update Date2008-06-07
Business Address
TIMOTHY DETERS LPN
2500 OVERLOOK TER
MADISON, WI 53705-2254
Phone number: 608-280-7110
Mailing Address
TIMOTHY DETERS LPN
2500 OVERLOOK TER
MADISON, WI 53705-2254
Phone number:
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