Individual
MATTHEW JANSSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
333 PINE RIDGE BLVD, WAUSAU, WI 54401-4102
(715) 847-2826
Mailing address
2833 SOO MARIE AVE, STEVENS POINT, WI 54481-4953
(715) 570-4673
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
14259-24
WI
Other
Enumeration date
05/31/2018
Last updated
05/31/2018
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