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Search › Wisconsin › 208M00000X

Jacob Mcclintic

NPI 1811359847 · on the registry since 2016

Practice

Address
1836 South Ave
La Crosse, WI 54601
Phone
(608) 782-7300
Organisation at this address
Gundersen Clinic Ltd
Gundersen Clinic Ltd
Gundersen Clinic Ltd
Gundersen Clinic Ltd
Gundersen Lutheran Admin Svcs
Inferred from a shared address, not stated in the registry.
Clinicians at this address
1,546

Registry record

Primary taxonomy
208M00000X
208M00000X
Also registered as
390200000X
207R00000X
Licence states on file
IN, WI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2019-05-31

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin