Individual
DR. JENNIFER M. EGELSEER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
202 S PARK ST, MADISON, WI 53715-1507
(608) 417-6236
(503) 659-8984
Mailing address
7974 UW HEALTH CT, MIDDLETON, WI 53562-5531
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
77050-21
WI
208000000X
Pediatrics Physician
A-1370-06
NM
208000000X
Pediatrics Physician
DO28988
OR
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
70050-21
WI
2080N0001X
Neonatal-Perinatal Medicine Physician
A-1370-06
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500608952
—
OR
Enumeration date
10/10/2006
Last updated
01/12/2021
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