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Individual

DR. JORDAN CARL IMOEHL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
600 HIGHLAND AVE, MADISON, WI 53792-0001
(608) 262-2398
(608) 262-9999
Mailing address
6530 SCARLET ROSE CIR SW, CEDAR RAPIDS, IA 52404-1264

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
68529
WI

Other

Enumeration date
05/26/2016
Last updated
07/14/2021
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