SearchWisconsin171W00000X

Jerry Kreibich

NPI 1174080998 · on the registry since 2019 · sole proprietor

Practice

Address
W25551 Us Highway 10
Eleva, WI 54738
Phone
(715) 287-2575

Registry record

Primary taxonomy
171W00000X
171W00000X
Licence states on file
WI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2019-02-28

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