Individual
JOHN E. JAEGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
N1799 COUNTY ROAD R, APT #1, LEBANON, WI 53047-0071
(920) 925-3634
(920) 925-3634
Mailing address
PO BOX 71, LEBANON, WI 53047-0071
(920) 925-3634
(920) 925-3634
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
—
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
35024300
—
WI
Enumeration date
03/01/2007
Last updated
07/09/2007
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