Heidi Catherine Puhl
Driver in South Range, WI. Individual provider (NPI-1).
NPI number1164089991
StatusActive
Last updated in NPPESMay 28, 2019
Details
- NPI
- 1164089991
- Entity type
- Individual (NPI-1)
- Name
- Heidi Catherine Puhl
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 28, 2019
- Last updated
- May 28, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 172A00000X | Driver | – | – | Yes |
Practice location
3484 S 22nd RdSouth Range, WI 54874-8849
Phone 218-428-0377
Mailing address
3484 S 22nd RdSouth Range, WI 54874-8849
Phone 218-428-0377
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