Jared M. Kohlenberg, D.O.

NPI #1548498298 in Green Lake, Wisconsin

Provider Information

NPI Number: 1548498298
Entity Type: Individual
Name: Jared M. Kohlenberg, D.O.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: D.O.
Enumeration Date: Jul 1, 2009
Last Updated: May 14, 2015

Practice Location

Address: 670 COUNTY ROAD A
City: Green Lake
State: Wisconsin
ZIP Code: 54941-8608
Phone: (920) 294-0100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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