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Individual

TODD THIERMANN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
521 N GRANT AVE, JANESVILLE, WI 53548-2721
(608) 758-1103
(608) 758-1208
Mailing address
1715 LINNERUD DR UNIT 71, SUN PRAIRIE, WI 53590-1189
(608) 235-7894

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
0020312
WI

Other

Enumeration date
10/17/2024
Last updated
10/17/2024
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