Individual
ERIC JAHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
914 S SCHEUBER RD, 360) 736-2803, CENTRALIA, WA 98531-9027
(360) 736-2803
Mailing address
3602 COUNTY ROAD JG, BLUE MOUNDS, WI 53517-9648
(608) 630-1380
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
IN PROGRESS
—
Other
Enumeration date
07/03/2015
Last updated
07/03/2015
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