TIMOTHY S LAUTENSLAGER

GREEN BAY, WI
NPI1982340626
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: WI  12136-33)
Enumeration Date2022-05-06
Last Update Date2022-08-29
Business Address
TIMOTHY S LAUTENSLAGER APNP
1630 COMMANCHE AVE
GREEN BAY, WI 54313-5753
Phone number: 920-433-6000
Mailing Address
TIMOTHY S LAUTENSLAGER APNP
PO BOX 22487
GREEN BAY, WI 54305-2487
Phone number: 920-445-7222
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