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Individual

DR. MICHAEL W JAEGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2818 W VIRGINIA AVE, TAMPA, FL 33607-6330
(813) 872-8551
(813) 871-3708
Mailing address
PO BOX 25317, TAMPA, FL 33622-5317
(813) 286-0033
(813) 282-1806

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
ME0046958
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
047396100
FL
Enumeration date
09/23/2005
Last updated
04/19/2012
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