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Individual

ANDERS V JUVONEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
115 W BRIDGE ST, WAUSAU, WI 54401-2929
(715) 842-4288
(715) 842-2162
Mailing address
115 W BRIDGE ST, WAUSAU, WI 54401-2929
(715) 842-4288
(715) 842-2162

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
437-025
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
43241200
WI
Enumeration date
07/05/2006
Last updated
08/25/2008
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