# JENIFER I BASSETT MD SC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013088665
- **Authorized official:** DR. JENIFER I BASSETT M.D. (DIRECTOR PRESIDENT)
- **Authorized official phone:** (715) 830-9990

## Contact information

- **Practice address:** 714 W HAMILTON AVE, EAU CLAIRE, WI 54701-6937
- **Practice address phone:** (715) 830-9990
- **Practice address fax:** (715) 830-9995
- **Mailing address:** 714 W HAMILTON AVE, EAU CLAIRE, WI 54701-6937
- **Mailing address phone:** (715) 830-9990
- **Mailing address fax:** (715) 830-9995

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 45876 | WI | Yes |
| 208000000X | Pediatrics Physician | 45876 | WI | — |

## Other

- **Enumeration date:** 11/13/2006
- **Last updated:** 03/10/2009