Individual
JOHN A LIEBZEIT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
411 JEPSON RD, CLINTONVILLE, WI 54929-8400
(715) 823-5110
Mailing address
411 JEPSON RD, CLINTONVILLE, WI 54929-8400
(715) 823-5110
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
171149-30
WI
Other
Enumeration date
01/25/2010
Last updated
01/25/2010
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