Individual
JENNA FOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1615 MAPLE LN STE 1, ASHLAND, WI 54806-3630
(715) 685-7500
Mailing address
1702 UNIVERSITY DR S, FARGO, ND 58103-4940
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
71533-20
WI
390200000X
Student in an Organized Health Care Education/Training Program
MT208240
PA
Other
Enumeration date
05/28/2015
Last updated
09/04/2019
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