Individual
JERRY MICHAEL SELNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
N2526 COUNTY ROAD B, KEWAUNEE, WI 54216-9695
(920) 388-0225
Mailing address
N2526 COUNTY ROAD B, KEWAUNEE, WI 54216-9695
(920) 388-0225
Taxonomy
Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
Primary
—
—
Other
Enumeration date
09/20/2018
Last updated
09/20/2018
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