Individual
JEFFREY S SERCHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
7540 22ND AVE, KENOSHA, WI 53143-5702
(262) 656-7800
Mailing address
26129 WINDERMERE DR, WIND LAKE, WI 53185-2747
(262) 895-3589
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3844
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40251800
—
WI
Enumeration date
03/13/2007
Last updated
07/08/2007
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