Individual
DR. JILL ELIZABETH POGORELEC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
2817 NEW PINERY RD, PORTAGE, WI 53901-9240
(608) 742-4131
(608) 745-6242
Mailing address
2817 NEW PINERY ROAD, PORTAGE, WI 53901-0387
(608) 742-4131
(608) 745-6242
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34009270
OH
207Q00000X
Family Medicine Physician
55623-021
WI
207Q00000X
Family Medicine Physician
58002048
OH
Other
Enumeration date
05/06/2007
Last updated
08/10/2012
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