Individual
EMILY RUTH JAEGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
01085379A
IN
2084N0400X
Neurology Physician
Primary
83255
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100285606
—
WI
Enumeration date
04/17/2017
Last updated
09/13/2024
Update your record
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