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Individual

ALCEE J JUMONVILLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

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
207RX0202X
Medical Oncology Physician
Primary
26141
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
31418600
WI
Enumeration date
06/22/2005
Last updated
06/02/2015
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