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Individual

DR. KELLY MICHELLE JORGENSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHARMD

Contact information

Practice address
245 SYCAMORE ST, SAUK CITY, WI 53583-1013
(608) 644-9265
(608) 643-2629
Mailing address
1306 GILE DR, WAUNAKEE, WI 53597-2660
(763) 355-4949
(608) 850-4992

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14432
WI

Other

Enumeration date
10/11/2012
Last updated
06/21/2019
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