Individual
JENNIFER ANNE BELISLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2600 65TH AVE, OSCEOLA, WI 54020-4370
(715) 294-2111
Mailing address
2600 65TH AVE, PO BOX 218, OSCEOLA, WI 54020-4370
(715) 294-2111
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
56486
MN
207Q00000X
Family Medicine Physician
Primary
63408
WI
Other
Enumeration date
04/18/2012
Last updated
10/09/2015
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