Individual
DR. JEREMY S FORSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2321 STOUT RD, MENOMONIE, WI 54751-7003
(715) 235-9671
Mailing address
PO BOX 1510, EAU CLAIRE, WI 54702-1510
(715) 838-3635
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
46700
WI
Other
Enumeration date
06/16/2005
Last updated
09/14/2020
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