Individual
JEREMY MUSCANERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
B.S.
Contact information
Practice address
708 ELIZABETH ST, BARABOO, WI 53913-2372
(608) 477-9858
Mailing address
708 ELIZABETH ST, BARABOO, WI 53913-2372
(608) 477-9858
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
WI
Other
Enumeration date
04/10/2015
Last updated
04/10/2015
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