Individual
JEFFREY R JAST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
240 MAPLE ST, WOODRUFF, WI 54568-9190
(715) 356-8000
Mailing address
240 MAPLE ST, WOODRUFF, WI 54568-9190
(715) 356-8000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
70442
WI
Other
Enumeration date
05/24/2017
Last updated
12/11/2020
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