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Individual

JEFFREY L WHITE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
1240 BIG JACK RD, PLATTEVILLE, WI 53818-8902
(608) 348-6266
(608) 342-3600
Mailing address
1500 ASSOCIATES DR, DUBUQUE, IA 52002-2201
(563) 584-4100
(563) 584-4110

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
03120
IA
207Q00000X
Family Medicine Physician
Primary
38995
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
30085000
WI
Enumeration date
05/25/2006
Last updated
09/17/2009
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