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Contact Information

KIM T DUCZAK, APNP
818 FORREST LN
WATERFORD, WI53185
 Phone: 262-514-3700
 Fax: 262-514-3865
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for KIM T DUCZAK · (Female)

NPI # 1346355542
Status Active
Credentials APNP
Entity Individual
Enumeration date 08/20/2006
Last updated 12/01/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • WI License # 1544-033
  • WI License # 80028-030
  • WI Medicaid 4393500
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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