DEBRA LYNN TIDQUIST

WHITEHALL, WI
NPI1841398765
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: WI  2950-33)
Enumeration Date2006-09-21
Last Update Date2007-07-08
Business Address
-- DEBRA LYNN TIDQUIST APRN-BC
18601 LINCOLN ST
WHITEHALL, WI 54773-8605
Phone number: 715-538-4361
Mailing Address
-- DEBRA LYNN TIDQUIST APRN-BC
1251 E WILSON AVE
ARCADIA, WI 54612-1830
Phone number: 608-323-7005