Individual
DR. JEFFREY LYNN WISWELL JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
700 WEST AVE S, LA CROSSE, WI 54601-4783
(608) 785-0940
Mailing address
PO BOX 860912, MINNEAPOLIS, MN 55486-0912
(507) 284-2511
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
54320
MN
207P00000X
Emergency Medicine Physician
Primary
61244-20
WI
207P00000X
Emergency Medicine Physician
A125105
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/16/2010
Last updated
02/11/2026
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