Individual
RICHARD P JENNINGS
Active
Individual
RICHARD P JENNINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
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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