Individual
ANNE M ERNST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
2875 FISH HATCHERY RD, FITCHBURG, WI 53713-3114
(608) 204-6242
Mailing address
7860 BLACK RIVER RD, VERONA, WI 53593-9501
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
070-013841
IL
225100000X
Physical Therapist
Primary
10328-024
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
36164100
—
WI
Enumeration date
10/02/2006
Last updated
04/20/2018
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