Individual
DEANNA M JEWELL
Active
Individual
DEANNA M JEWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
2015017270
MO
208100000X
Physical Medicine & Rehabilitation Physician
Primary
76227
WI
2081P0010X
Pediatric Rehabilitation Medicine Physician
2019022888
MO
Other
Enumeration date
06/10/2015
Last updated
02/02/2023
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