Individual
DR. JEFFREY LEMOINE DUNHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
113 4TH AVENUE, SHELL LAKE, WI 54871
(715) 468-7833
(715) 468-7839
Mailing address
113 4TH AVENUE, SHELL LAKE, WI 54871
(715) 468-7833
(715) 468-7839
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
30726
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31592800
—
WI
Enumeration date
06/16/2005
Last updated
06/06/2024
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