Individual
CAROL L JEGLUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
112 JEFFERSON ST, WEST UNION, IA 52175-1022
(563) 422-3811
(563) 422-9520
Mailing address
1836 SOUTH AVE, CREDENTIALING, LA CROSSE, WI 54601-5429
(800) 362-9567
(608) 775-4429
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1650
IA
Other
Enumeration date
02/07/2006
Last updated
06/09/2008
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