Individual
JEREMY VIERCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1200 EASTWOOD ST, #4, HOLMEN, WI 54636-9447
(608) 787-8200
Mailing address
1200 EASTWOOD ST, #4, HOLMEN, WI 54636-9447
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
08/26/2011
Last updated
08/26/2011
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