Individual
MICHAEL D JEFFERIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1836 SOUTH AVE, LA CROSSE, WI 54601-5429
(608) 782-7300
Mailing address
1836 SOUTH AVE, LA CROSSE, WI 54601-5429
(608) 782-7300
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
51361-020
WI
390200000X
Student in an Organized Health Care Education/Training Program
TL-1710
CO
Other
Enumeration date
01/26/2007
Last updated
01/23/2014
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