Individual
MR. JACK E MEIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
1636 N 35TH ST, SHEBOYGAN, WI 53081-1804
(920) 452-3591
Mailing address
1636 N 35TH ST, SHEBOYGAN, WI 53081-1804
(920) 452-3591
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
305400-31
WI
Other
Enumeration date
05/16/2012
Last updated
05/16/2012
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