MR. Jens Paul Nuesken, LPTA

NPI #1770899254 in Delavan, Illinois

Provider Information

NPI Number: 1770899254
Entity Type: Individual
Name: MR. Jens Paul Nuesken, LPTA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Credential: LPTA
Enumeration Date: Aug 23, 2010
Last Updated: Aug 23, 2010

Practice Location

Address: 505 W 4TH ST
City: Delavan
State: Illinois
ZIP Code: 61734-9688
Phone: (309) 241-7814

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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