Individual
JEAN A IBRIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1010 N WASHINGTON ST, JANESVILLE, WI 53548-1500
(608) 741-2430
(608) 741-6798
Mailing address
1010 N WASHINGTON ST, JANESVILLE, WI 53548-1500
(608) 741-2430
(608) 741-6798
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
31591
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31836300
—
WI
01
—
IBRICJEA
MERCYCARE INSURANCE
WI
Enumeration date
08/21/2006
Last updated
03/07/2023
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