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1871291906
MARISSA LORENA WALCZAK
RICE LAKE, WI
NPI
1871291906
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: WI 13864-33)
Enumeration Date
2023-02-17
Last Update Date
2023-06-14
Business Address
MARISSA LORENA WALCZAK FNP-BC
1700 W STOUT ST
RICE LAKE, WI 54868-5000
Phone number: 715-236-8100
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Mailing Address
MARISSA LORENA WALCZAK FNP-BC
1000 N OAK AVE
MARSHFIELD, WI 54449-5703
Phone number: 715-387-5511
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