KORBEN BIERSACK

WEST ALLIS, WI
NPI1578995247
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225400000X Rehabilitation Practitioner
Enumeration Date2013-08-05
Last Update Date2013-08-05
Business Address
-- KORBEN BIERSACK
2222 S 114TH ST
WEST ALLIS, WI 53227-1031
Phone number: 141-444-9444
Mailing Address
-- KORBEN BIERSACK
2222 S 114TH ST
WEST ALLIS, WI 53227-1031
Phone number: 141-444-9444