Individual
JESSICA LYNN KUESTER
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
207R00000X
Internal Medicine Physician
54442
WI
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
54442
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1134392566
—
WI
Enumeration date
04/07/2008
Last updated
01/31/2025
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