Individual
JACQUELINE VAN GHEEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2251 N SHORE DR, RHINELANDER, WI 54501-6713
(715) 361-2000
Mailing address
3601 4TH ST # MS 9436, LUBBOCK, TX 79430-0002
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
85550-20
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/28/2020
Last updated
07/24/2025
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