SearchWisconsin164W00000X

Marcia Kooiman

NPI 1992297774 · on the registry since 2018 · sole proprietor

Practice

Address
N3187 Elm Ridge Rd
Delavan, WI 53115
Phone
(262) 325-5645

Registry record

Primary taxonomy
164W00000X
164W00000X
Licence states on file
WI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2018-06-06

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