Organization
JEFFOG MEDICAL WI SC
Active
Organization
JEFFOG MEDICAL WI SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY DAVID FOGLE MD (OWNER)
(877) 340-1697
Entity
Organization
Contact information
Practice address
21675 E MORELAND BLVD, WAUKESHA, WI 53186-2010
(262) 325-5603
Mailing address
2800 E ENTERPRISE AVE STE 333, APPLETON, WI 54913-7889
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
—
—
Other
Enumeration date
08/25/2026
Last updated
08/25/2026
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