| Kimberly M Dahlke, NP | |
| 
					3509 Dewey St, Manitowoc, WI 54220  | |
| (920) 686-5732 | |
| (920) 686-5726 | 
| Full Name | Kimberly M Dahlke | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner | 
| Location | 3509 Dewey St, Manitowoc, Wisconsin | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1912420852 | NPI | - | NPPES | 
| 100069998 | Medicaid | WI | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 7834 (Wisconsin) | Primary | 
| Entity Name | Aurora Medical Group, Inc. | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1427271378 PECOS PAC ID: 6709794258 Enrollment ID: O20031105000725  | 
| Entity Name | Baycare Aurora Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1255387726 PECOS PAC ID: 0244130557 Enrollment ID: O20051012000579  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Kimberly M Dahlke, NP 3509 Dewey St, Manitowoc, WI 54220 Ph: (920) 686-5732  | Kimberly M Dahlke, NP 3509 Dewey St, Manitowoc, WI 54220 Ph: (920) 686-5732  | 
Barbara J Backus, N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1650 S 41st St, Manitowoc, WI 54220 Phone: 920-320-4500 Fax: 920-682-9378  | |
Michael G Aderman, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 339 Reed Ave, Manitowoc, WI 54220 Phone: 920-320-8600  | |
Jessica L Lietzan, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1650 S 41st St, Manitowoc, WI 54220 Phone: 920-320-2436  | |
Veronica Mcfarlane, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1650 S 41st St, Manitowoc, WI 54220 Phone: 920-320-2436  | |
Nicole Artamenko, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1650 S 41st St, Manitowoc, WI 54220 Phone: 920-320-2436  | |
Brenda Stallbaum, APNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 339 Reed Ave, Manitowoc, WI 54220 Phone: 920-320-8600  | |
Angela R Vandewettering, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1111 Bayshore Dr, Manitowoc, WI 54220 Phone: 920-682-6376  |