Individual
JEREMY S ANGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
449 N WATER ST, BLACK RIVER FALLS, WI 54615-1016
(715) 456-3557
Mailing address
449 N WATER ST, BLACK RIVER FALLS, WI 54615-1016
(715) 456-3557
Taxonomy
Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
Primary
1553915
WI
Other
Enumeration date
11/16/2022
Last updated
11/16/2022
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