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NPI Code Detail

MEDICARE: MARILYN ROSE MOTSZKO APRN

MEDICARE: MARILYN ROSE MOTSZKO APRN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner2131033WI

General Provider Information

NPI Number : 1528141488
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARILYN ROSE MOTSZKO APRN
Provider Business Mailing Address
First Line : 464 S SAINT JOSEPH AVE
Second Line :
City : ARCADIA
State : WI
Zip : 54612-1401
Country : US
Telephone Number : 608-323-3341
Fax Number :
Provider Business Practice Location Address
First Line : 464 S SAINT JOSEPH AVE
Second Line :
City : ARCADIA
State : WI
Zip : 54612-1401
Country : US
Telephone Number : 608-323-3341
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/23/2006
Last Update Date : 05/06/2013

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Directions to “ MARILYN ROSE MOTSZKO APRN” Practice Location

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