Jerome Allan Fagerstrom, DC

NPI #1205852738 in Beloit, Wisconsin

Provider Information

NPI Number: 1205852738
Entity Type: Individual
Name: Jerome Allan Fagerstrom, DC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Chiropractor
Credential: DC
Enumeration Date: Jul 15, 2006
Last Updated: Dec 10, 2015

Practice Location

Address: 654 BLUFF ST
City: Beloit
State: Wisconsin
ZIP Code: 53511-6156
Phone: (608) 362-7652

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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