Individual
TIMOTHY JOSSUND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4121 E ITASCA ST, SUPERIOR, WI 54880-4239
(218) 235-1477
Mailing address
4121 E ITASCA ST, SUPERIOR, WI 54880-4239
(218) 235-1477
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
03/17/2014
Last updated
03/17/2014
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