Individual
JENNA LINDSLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
430 E DIVISION ST, FOND DU LAC, WI 54935-4560
(920) 926-5370
Mailing address
N10535 COUNTY ROAD G, NEW HOLSTEIN, WI 53061-9402
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
13830-24
WI
Other
Enumeration date
06/13/2017
Last updated
11/07/2018
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