Individual
MATTHEW J JERGENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1836 SOUTH AVE, LA CROSSE, WI 54601-5429
(608) 782-7300
Mailing address
1836 SOUTH AVE, LA CROSSE, WI 54601-5429
(608) 782-7300
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
7530320
WI
207R00000X
Internal Medicine Physician
MD-49870
IA
207RC0000X
Cardiovascular Disease Physician
Primary
7530320
WI
Other
Enumeration date
04/01/2019
Last updated
08/06/2025
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