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Individual

DR. JODY ANN JEDLICKA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
AUD

Contact information

Practice address
1820 W POINTE DR, OSHKOSH, WI 54902-4164
(920) 233-1800
(920) 232-1538
Mailing address
1820 W POINTE DR, OSHKOSH, WI 54902-4164
(920) 233-1800
(920) 232-1538

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
164-156
WI
237600000X
Audiologist-Hearing Aid Fitter
164-156
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
41122200
WI
Enumeration date
12/20/2006
Last updated
03/17/2018
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