Individual
MR. JEFFREY LEE JERDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
501 GOPHER DR, TOMAH, WI 54660-4513
(608) 372-2181
Mailing address
501 GOPHER DR, TOMAH, WI 54660-4513
(608) 372-2181
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
149023
MO
367500000X
Certified Registered Nurse Anesthetist
Primary
81297-030
WI
367500000X
Certified Registered Nurse Anesthetist
R 172688-8
MN
Other
Enumeration date
07/04/2006
Last updated
01/22/2021
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