Individual
MR. WESLEY DAVID THEUERKAUF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8067 BRINKLAND DR, MINOCQUA, WI 54548-9236
(715) 892-3596
Mailing address
8067 BRINKLAND DR, MINOCQUA, WI 54548-9236
(715) 892-3596
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2236
WI
Other
Enumeration date
04/27/2016
Last updated
04/27/2016
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