Individual
JEREMIAH ENNEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1041 HONEYSUCKLE LN, NEENAH, WI 54956-3930
(507) 514-2056
Mailing address
650 FOXMOOR LN, EAU CLAIRE, WI 54701-7492
Taxonomy
Speciality
Code
Description
License number
State
163WC1600X
Continuing Education/Staff Development Registered Nurse
Primary
1104464
WI
Other
Enumeration date
10/15/2024
Last updated
02/04/2026
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