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JACQUELINE A PROPER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1836 SOUTH AVE, LA CROSSE, WI 54601-5429
(608) 782-7300
Mailing address
1836 SOUTH AVE, LA CROSSE, WI 54601-5429
(608) 782-7300

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
38894
MN
207L00000X
Anesthesiology Physician
46692
WI
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
46692
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
34553500
WI
Enumeration date
06/01/2005
Last updated
12/18/2018
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