Individual
CARRIE JUREK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2900 COLLEGE DR, RICE LAKE, WI 54868-8551
(612) 470-7999
Mailing address
2900 COLLEGE DR, RICE LAKE, WI 54868-8551
(612) 470-7999
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
1965
MN
171100000X
Acupuncturist
Primary
957-55
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1865
MINNESOTA BOARD OF MEDICAL PRACTICE
MN
01
—
957-55
STATE OF WISCONSIN DEPARTMENT OF SAFETY AND PROFESSIONAL SERVICES
WI
Enumeration date
10/15/2018
Last updated
10/15/2018
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