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Search › Wisconsin › 1041C0700X

Justin Kietzman

NPI 1063837417 · on the registry since 2014

Practice

Address
425 6th St
Reedsburg, WI 53959
Phone
(608) 524-7907
Fax
(608) 524-7980
Organisation at this address
Sauk County Department Of Human Services
Sauk County Department Of Human Services
Sauk County Department Of Human Services
Sauk County Department Of Human Services
Sauk County Department Of Human Services
Inferred from a shared address, not stated in the registry.
Clinicians at this address
20

Additional practice sites

  • 2624 9th Ave S, Fargo, ND

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Also registered as
247200000X
Licence states on file
ND
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2018-07-27

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin