Individual
SHANE ARTHUR ZERTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
136 W BROADWAY AVE, MEDFORD, WI 54451-1757
(715) 316-3773
Mailing address
PO BOX 297, 136 W BROADWAY, MEDFORD, WI 54451-0297
(715) 748-4535
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1181-226
WI
Other
Enumeration date
01/08/2013
Last updated
01/08/2013
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