Jake Anthony Deviley, MD

NPI #1164162475 in La Crosse, Wisconsin

Provider Information

NPI Number: 1164162475
Entity Type: Individual
Name: Jake Anthony Deviley, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Internal Medicine
Credential: MD
Enumeration Date: Apr 1, 2022
Last Updated: Dec 12, 2023

Practice Location

Address: 1836 SOUTH AVE
City: La Crosse
State: Wisconsin
ZIP Code: 54601-5429
Phone: (608) 782-7300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary
Student in an Organized Health Care Education/Training Program	390200000X

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