Jerilou A Wiedmeyer (NPI# 1376736140, PAC ID# 7416040530) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY PRACTICE.
| Nation Provider ID (NPI) | 1376736140 |
| PAC ID by PECOS | 7416040530 |
| Professional Enrollment ID | I20070906000204 |
| Full Name | Jerilou A Wiedmeyer |
| Organization Legal Name | LAC COURTE OREILLES GOVERNING BOARD |
| Address |
13380 W Trepania Rd Hayward WI 54843-2186 |
| Phone Number | 7156385100 |
| Gender | F |
| Medical School | UNIVERSITY OF WISCONSIN MEDICAL SCHOOL |
| Graduation Year | 2001 |
| Primary Specialty | FAMILY PRACTICE |
| Group Practice PAC ID | 7810983517 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 13380 W Trepania Rd, Hayward, WI 54843-2186 | 7156385100 | LAC COURTE OREILLES GOVERNING BOARD |
| Organization Legal Name | LAC COURTE OREILLES GOVERNING BOARD |
| Physicians | 7 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Anthony L Mannila | Nurse Practitioner | Lac Courte Oreilles Governing Board | 13380 W Trepania Rd, Hayward, WI 54843-2186 |
| Modesto M Ferrer | Family Medicine | Lac Courte Oreilles Governing Board | 13380 W Trepania Rd, Hayward, WI 54843-2186 |
| Jessica Hartmann | Nurse Practitioner | Lac Courte Oreilles Governing Board | 13380 W Trepania Rd, Hayward, WI 54843-2186 |
| Holly G Schuck | Clinical Social Worker | Lac Courte Oreilles Governing Board | 13380 W Trepania Rd, Hayward, WI 54843-2186 |
| Pamela Rutter | Nurse Practitioner | Lac Courte Oreilles Governing Board | 13380 W Trepania Rd, Hayward, WI 54843-2186 |
| Sandra Zeznanski | Registered Dietitian Or Nutrition Professional | Lac Courte Oreilles Governing Board | 13380 W Trepania Rd, Hayward, WI 54843-2186 |
| Street Address |
13380 W TREPANIA RD |
| City | HAYWARD |
| State | WI |
| Zip | 54843-2186 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Anthony L Mannila | Nurse Practitioner | Lac Courte Oreilles Governing Board | 13380 W Trepania Rd, Hayward, WI 54843-2186 |
| Modesto M Ferrer | Family Medicine | Lac Courte Oreilles Governing Board | 13380 W Trepania Rd, Hayward, WI 54843-2186 |
| Jessica Hartmann | Nurse Practitioner | Lac Courte Oreilles Governing Board | 13380 W Trepania Rd, Hayward, WI 54843-2186 |
| Holly G Schuck | Clinical Social Worker | Lac Courte Oreilles Governing Board | 13380 W Trepania Rd, Hayward, WI 54843-2186 |
| Pamela Rutter | Nurse Practitioner | Lac Courte Oreilles Governing Board | 13380 W Trepania Rd, Hayward, WI 54843-2186 |
| Sandra Zeznanski | Registered Dietitian Or Nutrition Professional | Lac Courte Oreilles Governing Board | 13380 W Trepania Rd, Hayward, WI 54843-2186 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David G Kelling | Chiropractic | 15657 Cty Hwy B, Hayward, WI 54843 | |
| Michael C Momont | Orthopedic Surgery | Orthopedic Associates of Duluth Pa | 11128 N State Hwy 27 and 77, North Lakes Community Clinic, Hayward, WI 54843 |
| Mark A Murray | Chiropractic | Po Box, Suite 1339, Hayward, WI 54843-1339 | |
| Matthew J Luedke | Family Medicine | St Marys Hospital of Superior | 11134 N State Rd, Suite 77, Hayward, WI 54843-5325 |
| Vincentiu Andrei | General Surgery | St Marys Hospital of Superior | 11134 N State Rd, Suite 77, Hayward, WI 54843-5325 |
| David Lee Brucher | Physician Assistant | St Marys Hospital of Superior | 11134 N State Rd, Suite 77, Hayward, WI 54843-5325 |
| Harry D Malcolm | Family Medicine | The Duluth Clinic Ltd | 11134 N State Rd, Suite 77, Hayward, WI 54843-5325 |
| John R Mckevett | Family Medicine | St Marys Hospital of Superior | 11134 N State Rd, Suite 77, Hayward, WI 54843-5325 |
| Janet Kay Cismoski Martens | Nurse Practitioner | St Marys Hospital of Superior | 11134 N State Rd, Suite 77, Hayward, WI 54843-5325 |
| Julie B Kahl | Family Medicine | St Marys Hospital of Superior | 11134 N State Rd, Suite 77, Hayward, WI 54843-5325 |
| Find all physicians in zip 54843 | |||
| City | HAYWARD |
| Zip Code | 54843 |
| Specialty | FAMILY PRACTICE |
| City + Specialty | HAYWARD + FAMILY PRACTICE |
Please comment or provide details below to improve the information on Jerilou A Wiedmeyer.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.