Individual
JENNA RENEE INGERSOLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7665 US HIGHWAY 2, IRON RIVER, WI 54847-4690
(715) 372-5001
(715) 372-5067
Mailing address
15735 W US HIGHWAY 63, HAYWARD, WI 54843-6475
(888) 834-4551
(715) 598-4881
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
10355275-1205
UT
207Q00000X
Family Medicine Physician
Primary
68702
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100078113
—
WI
Enumeration date
05/08/2014
Last updated
10/09/2023
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