Individual
SPOORTHI JAGADISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1400 BELLINGER ST, EAU CLAIRE, WI 54703-5222
(715) 838-5222
Mailing address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-2511
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
R-11660
IA
2084N0400X
Neurology Physician
Primary
83607
WI
Other
Enumeration date
07/09/2019
Last updated
07/24/2024
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