Individual
JOHN W INGALLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
26425 LAKELAND AVE S, WEBSTER, WI 54893-8343
(715) 866-4271
(715) 483-0507
Mailing address
26425 LAKELAND AVE S, WEBSTER, WI 54893-8343
(715) 866-4271
(715) 483-0507
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
31328
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
21250000
—
WI
Enumeration date
01/10/2007
Last updated
01/14/2021
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