Individual
MR. AUSTIN NESHEIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
99 MOUND VIEW CIR, MOUNT HOREB, WI 53572-1968
(608) 354-6561
Mailing address
99 MOUND VIEW CIR, MOUNT HOREB, WI 53572-1968
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
178267-30
WI
Other
Enumeration date
12/04/2013
Last updated
12/04/2013
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