Search › Wisconsin › 225700000X
Mary Root
NPI 1659097780 · on the registry since 2022 · sole proprietor
Practice
- Address
- 210 Atley St
Soldiers Grove, WI 54655 - Phone
- (507) 571-0585
Registry record
- Primary taxonomy
- 225700000X
225700000X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-10-19
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