Search › Wisconsin › 213ES0103X
Beau Vesely, D.P.M
NPI 1164833430 · on the registry since 2014
Practice
- Address
- 610 W Adams St
Black River Falls, WI 54615 - Phone
- (715) 284-4311
- Fax
- (715) 284-0475
- Organisation at this address
- Krohn Clinic Ltd.
Black River Health Inc
Black River Health IncInferred from a shared address, not stated in the registry. - Clinicians at this address
- 28
Additional practice sites
- 5375 Coit Rd Ste 100, Frisco, TX
- 950 Campbell Avenue, West Haven, CT
- 5375 Coit Rd Ste 100, Frisco, TX
Registry record
- Primary taxonomy
- 213ES0103X
213ES0103X
- Also registered as
- 213ES0103X
- Licence states on file
- TX, WI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-07-21
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin