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Individual

JAIME JIMENEZ LOPEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1400 BELLINGER ST, EAU CLAIRE, WI 54703
(715) 838-5222
Mailing address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(715) 838-5222

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
70941
WI
207RN0300X
Nephrology Physician
ME130923
FL

Other

Enumeration date
08/10/2014
Last updated
07/25/2022
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