Individual
MOLLY JEAN FERMANICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
4810 BARBICAN AVE, WESTON, WI 54476-4186
(715) 393-0400
Mailing address
W9209 COUNTY ROAD F, ANTIGO, WI 54409-9116
(715) 219-3837
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
4098-19
WI
Other
Enumeration date
11/21/2023
Last updated
11/21/2023
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