Individual
EDGARDO C JIONGCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
601 HANDEYSIDE LANE, FORT ATKINSON, WI 53538
(920) 563-5544
(608) 833-6932
Mailing address
8007 EXCELSIOR DRIVE, MADISON, WI 53717
(608) 829-5238
(608) 833-6932
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
20514
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31094800
—
WI
Enumeration date
03/14/2006
Last updated
02/18/2008
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