Individual
EMILY L JEWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
833 S IOWA ST STE 102, DODGEVILLE, WI 53533-1900
(608) 935-3301
(608) 935-1149
Mailing address
1808 W BELTLINE HWY, MADISON, WI 53713-2334
(608) 280-4647
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
65719-21
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1356751507
—
WI
Enumeration date
04/28/2014
Last updated
11/25/2020
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