Search › Wisconsin › 363A00000X
Jenna Mulder
NPI 1053929653 · on the registry since 2020
Practice
- Address
- 100 County Road B
Shawano, WI 54166 - Phone
- (715) 526-2111
- Fax
- (715) 526-9366
- Organisation at this address
- Thedacare, Incorporated
Thedacare, Incorporated
Forefront Dermatology, S.C.
Valley Urologic Associates, Sc
Shopko Stores Operating Co., LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 99
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 390200000X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-03-22
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