Pautzke, Diane S

Pautzke, Diane S is an individual health care provider with primary practice located at 2000 N Dewey Ave , Reedsburg WI 53959-1049. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Pautzke, Diane S can be contacted via phone (608) 524-6487.

Contact Information

Primary practice address
2000 N Dewey Ave Reedsburg WI 53959-1049
Phone: (608) 524-6487
Fax: (608) 524-0842
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 1360-033 Wisconsin

Profile Details

NPI number 1548261563
LBN Legal business name Pautzke, Diane S
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 2nd, 2005
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1548261563 NPPES
Wisconsin MEDICAID 43884500

Popular Providers