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Individual
MRS. MARCELLA M JAEGER
Active
Individual
MRS. MARCELLA M JAEGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
036-101304
IL
207Q00000X
Family Medicine Physician
18516
AL
207Q00000X
Family Medicine Physician
2000148102
MO
207Q00000X
Family Medicine Physician
Primary
G87379
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G87379
—
CA
01
—
036-101304
STATE LICENSE
IL
01
—
18516
STATE LICENSE
AL
01
—
2000148102
STATE LICENSE
MO
01
—
G87379
STATE LICENSE
CA
Enumeration date
05/16/2006
Last updated
06/02/2025
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