Individual
JEREMY A CHAPMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
430 E DIVISION ST, FOND DU LAC, WI 54935-4560
(920) 926-4200
(920) 926-8933
Mailing address
1808 W BELTLINE HWY, ATTN: NANCY PIERCE-SSM HEALTH FDL REGIONAL CLINIC, MADISON, WI 53713-2334
(920) 926-8343
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
67935-20
WI
2084P0804X
Child & Adolescent Psychiatry Physician
67935-20
WI
Other
Enumeration date
04/21/2016
Last updated
05/04/2022
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