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Individual

DAVID LLOYD JARVIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
707 14TH ST, BARABOO, WI 53913-1539
(608) 356-1400
(608) 356-1564
Mailing address
707 14TH ST, BARABOO, WI 53913-1539
(608) 356-1400
(608) 356-1564

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
41443
WI
208M00000X
Hospitalist Physician
Primary
41443-020
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1038081
PHYSICIANS PLUS
WI
05
34098300
WI
01
60675
DEAN HEALTH INSURANCE
WI
Enumeration date
09/13/2006
Last updated
04/23/2018
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