Individual
JOSEPH FRANK JEANETTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3500 TOWER AVE, SUPERIOR, WI 54880-5335
(715) 395-5400
Mailing address
3500 TOWER AVE, SUPERIOR, WI 54880-5335
(715) 395-5400
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2771
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40089100
—
WI
01
—
HP49757
HEALTHPARTNERS
—
Enumeration date
07/03/2006
Last updated
07/08/2007
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