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Individual

JAMIE RAMBEAU

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
459 E 1ST ST, FOND DU LAC, WI 54935-4505
(920) 929-3500
Mailing address
459 E 1ST ST, FOND DU LAC, WI 54935-4505

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
42106
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1649248923
ID
05
1649248923
WA
Enumeration date
03/10/2006
Last updated
10/26/2019
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