Individual
BRAD A JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
505 GOPHER DR, TOMAH, WI 54660-4513
(608) 372-4111
Mailing address
1836 SOUTH AVE, LA CROSSE, WI 54601-5429
(608) 782-7300
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
7005
WI
Other
Enumeration date
04/28/2022
Last updated
09/14/2022
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