Individual
DR. JAY J MEVERDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
2600 STEWART AVE, SUITE 154, WAUSAU, WI 54401-4148
(715) 848-4088
(715) 842-2496
Mailing address
8707 TOWNLINE RD, WAUSAU, WI 54403-8634
(715) 848-1772
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
1673
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38770900
—
WI
Enumeration date
09/27/2006
Last updated
07/08/2007
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