Individual
TODD ALLEN JUHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2842 S BUSINESS DR, SHEBOYGAN, WI 53081-6518
(920) 458-6527
Mailing address
2842 S BUSINESS DR, SHEBOYGAN, WI 53081-6518
(920) 458-6527
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
151985-30
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1629282470
—
WI
Enumeration date
10/01/2019
Last updated
10/01/2019
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