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Todd Alan Judkins, RN

Registered Nurse in Marinette, WI. Individual provider (NPI-1).

NPI number1982114245
StatusActive
Last updated in NPPESOct 2, 2017

Details

NPI
1982114245
Entity type
Individual (NPI-1)
Name
Todd Alan Judkins
Credential
RN
Sex
Male
Sole proprietor
Yes
Enumeration date
Oct 2, 2017
Last updated
Oct 2, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
163W00000X Registered Nurse222229WIYes

Practice location

1669 Church St
Marinette, WI 54143-3452

Phone 920-391-9689

Mailing address

1669 Church St
Marinette, WI 54143-3452

Phone 920-391-9689

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