Individual
JEROME A HUEBNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1450 EASTSIDE RD, STE 110, PLATTEVILLE, WI 53818-9800
(608) 348-4330
(608) 342-4810
Mailing address
1450 EASTSIDE RD, PLATTEVILLE, WI 53818-9800
(608) 348-4330
(608) 342-4801
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20824-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1000859
PHYSICIANS PLUS
WI
01
—
143
DEAN HEALTH INSURANCE
WI
05
—
30130800
—
WI
Enumeration date
04/22/2006
Last updated
02/19/2015
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