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Individual

MS. JUANITA C. STAGEBERG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.T.

Contact information

Practice address
201 HOSPITAL RD., EAGLE RIVER, WI 54521-8835
(715) 479-0224
(715) 479-0398
Mailing address
201 HOSPITAL RD., EAGLE RIVER MEMORIAL HOSPITAL, EAGLE RIVER, WI 54521-8835
(715) 479-0224
(715) 479-0398

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
1526
ND
225100000X
Physical Therapist
Primary
4403-24
WI
225100000X
Physical Therapist
7392
MN

Other

Enumeration date
10/23/2009
Last updated
02/08/2011
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