Individual
DR. ALEXANDER JERROLD EGGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
113 4TH AVE, SHELL LAKE, WI 54871-4457
(715) 468-7833
Mailing address
113 4TH AVE, SHELL LAKE, WI 54871-4457
(715) 468-7833
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
14606-24
WI
Other
Enumeration date
06/04/2019
Last updated
06/04/2019
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