Individual
JENNY L STEGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1830 STATE HIGHWAY 9, DECORAH, IA 52101-7301
(563) 382-3140
Mailing address
1836 SOUTH AVE, LA CROSSE, WI 54601-5429
(608) 782-7300
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
1438
IA
363AM0700X
Medical Physician Assistant
1740
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41991300
—
WI
Enumeration date
06/14/2005
Last updated
07/23/2013
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