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DR. JEFFREY EATON ILSLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2321 STOUT RD, MENOMONIE, WI 54751-7003
(715) 235-5531
Mailing address
200 1ST ST SW, ROCHESTER, MN 55905-0002
(715) 838-5222

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
23938
SC
207P00000X
Emergency Medicine Physician
Primary
65669
WI
207Q00000X
Family Medicine Physician
LL3916
SC

Other

Enumeration date
01/03/2006
Last updated
09/03/2021
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