NPI 1437474392

Jason Kyle Waddell, DO

Practitioner Neurological Surgery Physician La Crosse, WI

Practice location

Address: 1836 South Ave, La Crosse, WI 54601-5429
Phone: (608) 782-7300

Registered specialties (2)

Neurological Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207T00000X Licence 61408 (WI)

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Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

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Registry record

NPI: 1437474392
Entity type: Individual
Sex (as registered): Male
NPI issued: 5 Apr 2010
Record last updated: 22 Apr 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.