Individual
JORDAN GIESSEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1003 S FRANKLIN ST, SHAWANO, WI 54166-3205
(715) 304-9108
Mailing address
1003 S FRANKLIN ST, SHAWANO, WI 54166-3205
(715) 304-9108
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
149408-30
WI
Other
Enumeration date
05/05/2010
Last updated
08/27/2012
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