Individual
JEREMY TRAUTLEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SLP
Contact information
Practice address
1731 17TH AVE, BLOOMER, WI 54724-1512
(715) 568-4669
(715) 568-4673
Mailing address
1731 17TH AVE, BLOOMER, WI 54724-1512
(715) 568-4669
(715) 568-4673
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4419
—
Other
Enumeration date
01/04/2018
Last updated
01/04/2018
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