Minta Dwyer

NPI #1770874414 in Mazomanie, Wisconsin

Provider Information

NPI Number: 1770874414
Entity Type: Individual
Name: Minta Dwyer
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Registered Nurse
Enumeration Date: Apr 28, 2011
Last Updated: Apr 28, 2011

Practice Location

Address: 10267 COUNTY ROAD Y
City: Mazomanie
State: Wisconsin
ZIP Code: 53560-9688
Phone: (608) 772-3255

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Registered Nurse	163W00000X	Primary

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