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NPI Profile for MICHELE L POLFUSS in NEENAH, WI.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Pediatrics |
363LP0200X | 50 | Nurse Practitioner |
| NPI # | 1164476156 |
|
| Status | Active | |
| Credentials | NP (Nurse Practitioner) | |
| Entity | Individual | |
| Enumeration date | 05/22/2006 | |
| Last updated | 12/18/2008 - About 17 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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MICHELE L POLFUSS
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MICHELE L POLFUSS, NP