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Individual

JEFFERY N GLASPY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1284 N SUMMIT AVE, OCONOMOWOC, WI 53066-4459
(262) 569-3080
(770) 237-1723
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
41367
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
008
BCBS
WI
05
33344000
WI
Enumeration date
05/05/2006
Last updated
11/30/2023
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