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Individual

JOHN F. JUERN

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
PHD

Contact information

Practice address
3333 N MAYFAIR RD, SUITE #210, WAUWATOSA, WI 53222-3219
(414) 778-1530
(414) 778-1531
Mailing address
3333 N MAYFAIR RD, SUITE #210, WAUWATOSA, WI 53222-3219
(414) 778-1530
(414) 778-1531

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1119-057
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
39076800
WI
Enumeration date
05/19/2006
Last updated
07/08/2007
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