Individual
JAMAL JANJUA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
1836 SOUTH AVE, LA CROSSE, WI 54601-5429
(608) 782-7300
Mailing address
1836 SOUTH AVE, LA CROSSE, WI 54601-5429
(608) 782-7300
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
69500
WI
390200000X
Student in an Organized Health Care Education/Training Program
6152 - 851
WI
Other
Enumeration date
07/01/2016
Last updated
07/12/2022
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