Individual
JONATHAN R DEMORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
205 PARKER ST, BOSCOBEL, WI 53805-1642
(608) 375-4112
Mailing address
621 S ILLINOIS AVE, SUITE 103, MASON CITY, IA 50401-5489
(641) 428-3041
(641) 428-3059
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
71506-20
WI
207Q00000X
Family Medicine Physician
R-10726
IA
Other
Enumeration date
08/26/2016
Last updated
12/18/2020
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