Individual
JAMES E SELF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
800 COMPASSION WAY, SUITE 136, DODGEVILLE, WI 53533-1956
(608) 937-7000
(608) 937-7001
Mailing address
800 COMPASSION WAY, SUITE 136, DODGEVILLE, WI 53533-1956
(608) 937-7000
(608) 937-7001
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
34165-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31913000
—
WI
Enumeration date
02/07/2006
Last updated
09/21/2010
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