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Contact Information

JON D RADCLIFFE, DO
407 S MAIN STREET
VIROQUA, WI54665
 Phone: 608-637-3195
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for JON D RADCLIFFE · (Male)

NPI # 1619979895
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 06/01/2005
Last updated 01/13/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • WI License # 36857
  • WI Medicaid 30067500
Hospital affiliation(s)
  • BOSCOBEL AREA HEALTH CARE - (Critical Access)
    205 PARKER ST
    BOSCOBEL, WI 53805
  • GUNDERSEN LUTH MED CTR - (Acute Care)
    1910 SOUTH AVE
    LA CROSSE, WI 54601
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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