Individual
JILL RAE VIERGUTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSN, RN
Contact information
Practice address
3206 SEYMOUR LN, WAUSAU, WI 54401-4051
(715) 573-0101
Mailing address
3206 SEYMOUR LN, WAUSAU, WI 54401-4051
(715) 573-0101
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
169215-030
WI
Other
Enumeration date
08/22/2009
Last updated
08/22/2009
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