NPI 1124774427
Trollway Diabetes INC.
Practice location
- Address
- 640 S 1st St, Mount Horeb, WI 53572-3311
- Phone
- (608) 684-6686
Authorised official
- Name
- Jill Kristen Kietzke
- Title
- Program Coordinator
- Phone
- (608) 512-8115
Registered specialties
Health Educator
Primary
Registry record
- NPI
- 1124774427
- Entity type
- Organization
- NPI issued
- 24 Feb 2022
- Record last updated
- 24 Feb 2022
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.