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Contact Information

LAURA JACQUES, MD
4200 SAVANNAH DR
MERITER DEFOREST-WINDSOR
DEFOREST, WI53562
 Phone: 608-414-3300
 Fax: 608-417-3100
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Obstetrics & Gynecology

207V00000X 16 Physician/Obstetrics & Gynecology
Indicates primary specialty

NPI Profile & details for LAURA JACQUES · (Female)

NPI # 1336335686
Status Active
Credentials MD
Entity Individual
Enumeration date 09/20/2007
Last updated 02/01/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • WI License # 55905
  • WI Medicaid 1336335686
Hospital affiliation(s)
  • MERITER HSPTL - (Acute Care)
    202 S PARK ST
    MADISON, WI 53715
  • UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY - (Acute Care)
    600 HIGHLAND AVENUE
    MADISON, WI 53792
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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