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Tina Lorene Swanke, OTR
Specialist in Berlin, Wisconsin
NPI 1063511061

Tina Lorene Swanke is a Specialist based in Princeton, WI. Tina Lorene Swanke practices in Berlin, WI and has the professional credentials of OTR. The NPI Number for Tina Lorene Swanke is 1063511061 and holds a License No. 729-026 (Wisconsin).

The current practice location address for Tina Lorene Swanke is 147 N State St, Berlin, WI and can be reached out via phone at 920-361-3515.

Location: 147 N State St, Berlin, WI, 54968-9323
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1063511061
Provider Name
Tina Lorene Swanke
Credential
OTR
Provider Entity Type
Individual
Gender
Female
Address
147 N State St, Berlin, WI, 54968-9323
Phone Number
920-361-3515
Fax Number
Provider Enumeration Date
09/22/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
40729700 05 WI
institution
Provider Business Practice Location Address Details
Address
147 N State St
City
Berlin
State
Wisconsin
Zip
54923-1621
Phone Number
920-361-3515
Fax Number
person
Provider Business Mailing Address Details
Address
147 N State St
City
Berlin
State
Wisconsin
Zip
54923-1621
Phone Number
920-361-3515
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
729-026 (Wisconsin)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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