Individual
DR. ANTHONY W JUREK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D
Contact information
Practice address
7411 W COLDSPRING RD, GREENFIELD, WI 53220-2813
(414) 328-1338
Mailing address
7411 W COLDSPRING RD, GREENFIELD, WI 53220-2813
(414) 328-1338
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1869-057
WI
103TF0200X
Forensic Psychologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39117600
—
WI
Enumeration date
04/09/2008
Last updated
04/09/2008
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