Individual
MS. TIFFANY LYNN JAEGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MFT, PA-C
Contact information
Practice address
2321 STOUT RD, MENOMONIE, WI 54751-7003
(715) 235-5531
Mailing address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(715) 838-5222
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
59
WI
363A00000X
Physician Assistant
Primary
3601
WI
Other
Enumeration date
11/07/2006
Last updated
01/18/2021
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