Individual
ADAM JOSEPH JODOCY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
N7203 TRIPLE T RD, MOUNT CALVARY, WI 53057-9619
(906) 282-2880
Mailing address
N7203 TRIPLE T RD, MOUNT CALVARY, WI 53057-9619
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
175319
WI
Other
Enumeration date
08/03/2023
Last updated
08/03/2023
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