Individual
MRS. JENNIFER MARIE LANGMAN REESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1818 N MEADE ST, APPLETON, WI 54911
(920) 731-8900
(920) 225-1479
Mailing address
PO BOX 8003, APPLETON, WI 54912-8003
(920) 738-4780
(920) 738-5787
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
2065
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42895900
—
WI
Enumeration date
10/11/2006
Last updated
01/28/2011
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