Search › Wisconsin › 124Q00000X
Theresa Matusiewicz Popovich, R.D.H
NPI 1548565419 · on the registry since 2011
Practice
- Address
- 88455 Pike Rd
Bayfield, WI 54814 - Phone
- (715) 779-3096
- Organisation at this address
- Red Cliff Band Of Lake Superior Chippewa
Red Cliff Band Of Lake Superior Chippewa
Red Cliff Band Of Lake Superior ChippewaInferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 124Q00000X
124Q00000X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2011-01-24
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