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Individual

JENNIFER L MACGREGOR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
2253 W MASON ST, GREEN BAY, WI 54303-4706
(920) 327-7323
Mailing address
2253 W MASON ST, GREEN BAY, WI 54303-4706
(920) 327-7323

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
9519-33
WI

Other

Enumeration date
12/27/2019
Last updated
11/24/2021
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