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Individual

DR. JENNY ROSE PARK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD, MCR

Contact information

Practice address
1700 TUTTLE ST, BARABOO, WI 53913-3319
(608) 355-3800
(380) 355-7007
Mailing address
1100 DELAPLAINE CT, MADISON, WI 53715-1840
(608) 263-4550

Taxonomy

Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary

Other

Enumeration date
07/25/2024
Last updated
04/24/2025
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