Individual
JEFFERSON I DRISCOLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
515 22ND AVE, MONROE, WI 53566-1569
(608) 324-2000
Mailing address
1114 23RD AVE, MONROE, WI 53566-2103
(608) 576-0499
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
101692851
WI
390200000X
Student in an Organized Health Care Education/Training Program
Primary
101692
WI
Other
Enumeration date
06/17/2025
Last updated
07/31/2025
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