Individual
JUSTIN BERNARD TERESINSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
333 PINE RIDGE BLVD, WAUSAU, WI 54401-4102
(715) 847-2121
Mailing address
333 PINE RIDGE BLVD, WAUSAU, WI 54401-4187
(715) 847-2121
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28240671A
IN
367500000X
Certified Registered Nurse Anesthetist
Primary
10132-33
WI
Other
Enumeration date
07/03/2018
Last updated
12/18/2020
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