NPI 1245626829

Jeremy Muscanero, BS

Practitioner Community Health Worker Baraboo, WI

Practice location

Address: 708 Elizabeth St, Baraboo, WI 53913-2372
Phone: (608) 477-9858

Registered specialties

Community Health Worker Primary

Other Service Providers Taxonomy 172V00000X

Other Community Health Worker providers in Wisconsin →

Registry record

NPI: 1245626829
Entity type: Individual
Sex (as registered): Male
NPI issued: 10 Apr 2015
Record last updated: 10 Apr 2015

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.