Individual
DR. VIRGINIA CAROL DUERST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
10000 OTTER CREEK ROAD, FALL CREEK, WI 54742
(715) 877-2320
Mailing address
10000 OTTER CREEK ROAD, FALL CREEK, WI 54742
(715) 877-2320
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1354
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39218700
—
WI
Enumeration date
08/31/2006
Last updated
07/08/2007
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