| Karin Zodrow, | |
|
1300 South Drive, Winnebago, WI 54985 | |
| (920) 235-4910 | |
| Not Available |
| Full Name | Karin Zodrow |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 1300 South Drive, Winnebago, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225793953 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 11265-33 (Wisconsin) | Primary |
| Entity Name | Ascension Medical Group-fox Valley Wisconsin Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730126392 PECOS PAC ID: 0244142420 Enrollment ID: O20031105000351 |
| Mailing Address | Practice Location Address |
|---|---|
| Karin Zodrow, 1300 South Drive, Winnebago, WI 54985 Ph: (920) 235-4910 | Karin Zodrow, 1300 South Drive, Winnebago, WI 54985 Ph: (920) 235-4910 |
Kevin Paul Pittenger, APNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4030 Treffert Dr., Winnebago, WI 54901 Phone: 920-235-4910 | |
Michelle Kaye Burton, APNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: Po Box 16, Winnebago, WI 54985 Phone: 920-426-4310 | |
Jeremiah Mobisa Gwaro, APNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1505 North Drive, Winnebago, WI 54985 Phone: 920-426-4310 | |
Kevin K Klein, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1300 South Drive, Winnebago, WI 54985 Phone: 920-235-4910 Fax: 920-237-2043 | |
Lisa Albrecht, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: Po Box 16, Winnebago, WI 54985 Phone: 920-426-4310 | |
Charlene A Cain, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1300 South Drive, Winnebago, WI 54985 Phone: 920-235-4910 |