NPI 1023457918

Jerelyn Mary Koosmann, RDH

Practitioner Dental Hygienist Ashland, WI

Practice location

Address: 53585 Nokomis Rd, Ashland, WI 54806-4272
Phone: (715) 685-7887
Fax: (715) 685-7857

Registered specialties

Dental Hygienist Primary

Dental Providers Taxonomy 124Q00000X Licence 5103-16 (WI)

Other Dental Hygienist providers in Wisconsin →

Registry record

NPI: 1023457918
Entity type: Individual
Sex (as registered): Female
NPI issued: 24 Jun 2013
Record last updated: 24 Jun 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.