JODIE THERESA DIEMER

LA CROSSE, WI
NPI1528521150
Former NameJODIE THERESA DEVRIES
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: WI  7804)
Enumeration Date2019-04-10
Last Update Date2022-09-14
Business Address
JODIE THERESA DIEMER
815 10TH ST S
LA CROSSE, WI 54601-4764
Phone number: 608-785-0940
Mailing Address
JODIE THERESA DIEMER
200 1ST ST SW
ROCHESTER, MN 55905-0001
Phone number: 507-284-2511