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Elizabeth Theis

NPI 1417500174 · on the registry since 2019 · sole proprietor

Practice

Address
222 Christines Way
Random Lake, WI 53075
Phone
(920) 889-5056

Registry record

Primary taxonomy
225XP0019X
225XP0019X
Sex
Female
Record last updated
2019-07-22

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin