Individual
MICHAEL B JURGENSMEIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COUI
Contact information
Practice address
1363 FILLMORE ST, TWIN FALLS, ID 83301-3392
(208) 736-7090
(208) 736-7089
Mailing address
1363 FILLMORE ST, TWIN FALLS, ID 83301-3392
(208) 736-7090
(208) 736-7089
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
COUI-8982
ID
Other
Enumeration date
04/24/2023
Last updated
04/24/2023
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