Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 34.013876 | OH |
N | 207X00000X | Orthopaedic Surgeon | 5101020898 | MI |
Y | 207X00000X | Orthopaedic Surgeon | 73400-21 | WI |
NPI | 1013336577 |
---|---|
Provider Name | John James Verre |
First Address | Wausau, WI 54401-4707 |
Second Address | Wausau, WI 54401-4707 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/04/2014 |
Last Update Date | 09/08/2020 |