Individual
RICHARD P JENNINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
824 ILLINOIS AVE, STEVENS POINT, WI 54481-3112
(715) 342-7500
Mailing address
824 ILLINOIS AVE, STEVENS POINT, WI 54481-3112
(715) 342-7500
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
29143
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30042200
—
WI
01
—
540756
DEAN HEALTH
WI
Enumeration date
01/03/2006
Last updated
03/12/2013
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