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Individual

AMY J. JAEGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPM

Contact information

Practice address
410 DEWEY ST, WISCONSIN RAPIDS, WI 54495-8075
(715) 421-5257
Mailing address
1000 N OAK AVE, MARSHFIELD, WI 54449-5703
(715) 387-5511

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
898-025
WI
213ES0103X
Foot & Ankle Surgery Podiatrist
00753
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
APPR
WI
Enumeration date
08/26/2005
Last updated
11/17/2022
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