Diane Mary Herzig, LPN | |
1842 Delaware St, Oshkosh, WI 54902-6729 | |
(920) 237-0127 | |
Not Available |
Full Name | Diane Mary Herzig |
---|---|
Gender | Female |
Speciality | Licensed Practical Nurse |
Location | 1842 Delaware St, Oshkosh, Wisconsin |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1942457114 | NPI | - | NPPES |
35066900 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
164W00000X | Licensed Practical Nurse | 309737-031 (Wisconsin) | Primary |
Mailing Address | Practice Location Address |
---|---|
Diane Mary Herzig, LPN 1842 Delaware St, Oshkosh, WI 54902-6729 Ph: (920) 237-0127 | Diane Mary Herzig, LPN 1842 Delaware St, Oshkosh, WI 54902-6729 Ph: (920) 237-0127 |
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