Individual
MR. DAVID JONATHAN EVERSOLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN REGISTERED NURSE
Contact information
Practice address
1516 DEVALERA, PLATTEVILLE, WI 53818-2029
(608) 348-5753
Mailing address
776 UNION ST, PLATTEVILLE, WI 53818-2029
(608) 348-5753
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
—
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38312100
—
WI
Enumeration date
04/02/2008
Last updated
04/02/2008
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