Individual
JESSICA MAE RASMUSSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1836 SOUTH AVE, LA CROSSE, WI 54601-5429
(608) 782-7300
Mailing address
1836 SOUTH AVE, LA CROSSE, WI 54601-5429
(608) 782-7300
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD2020-0574
NM
390200000X
Student in an Organized Health Care Education/Training Program
—
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Other
Enumeration date
04/02/2015
Last updated
07/21/2020
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