Provider Demographics
NPI:1518116342
Name:TECHTMAN, MARGARET R (RN)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:R
Last Name:TECHTMAN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:MARGARET
Other - Middle Name:R
Other - Last Name:BLASCZYK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:440 E GREEN BAY AVE
Mailing Address - Street 2:
Mailing Address - City:SAUKVILLE
Mailing Address - State:WI
Mailing Address - Zip Code:53080-2010
Mailing Address - Country:US
Mailing Address - Phone:262-268-9433
Mailing Address - Fax:
Practice Address - Street 1:440 E GREEN BAY AVE
Practice Address - Street 2:
Practice Address - City:SAUKVILLE
Practice Address - State:WI
Practice Address - Zip Code:53080-2010
Practice Address - Country:US
Practice Address - Phone:262-268-9433
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-17
Last Update Date:2008-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI163827-030163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI35063100Medicaid