Jeffery Scott Herried, PA-C

NPI #1316942865 in Whitehall, Wisconsin

Provider Information

NPI Number: 1316942865
Entity Type: Individual
Name: Jeffery Scott Herried, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Jun 20, 2005
Last Updated: Mar 19, 2019

Practice Location

Address: 18606 ERVIN ST
City: Whitehall
State: Wisconsin
ZIP Code: 54773-8613
Phone: (715) 538-4355

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary
Physician Assistant - Medical — Medical	363AM0700X

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