Individual
JEREMY M. BELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
210 WISCONSIN AMERICAN DR, FOND DU LAC, WI 54937-2999
(920) 907-7000
Mailing address
3301 W FOREST HOME AVE, MILWAUKEE, WI 53215-2843
(414) 389-2377
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
49268021
WI
207VX0000X
Obstetrics Physician
5101014348
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43531400
—
WI
Enumeration date
01/06/2006
Last updated
11/22/2021
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