Jason S So, DO

NPI #1508078643 in Lake Geneva, Wisconsin

Provider Information

NPI Number: 1508078643
Entity Type: Individual
Name: Jason S So, DO
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: DO
Enumeration Date: May 3, 2007
Last Updated: Aug 29, 2019

Practice Location

Address: 350 PELLER RD
City: Lake Geneva
State: Wisconsin
ZIP Code: 53147-4543
Phone: (262) 245-0221

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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