JORDAN MARTHA LEE FENNER

MADISON, WI
NPI1356831622
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2085R0202X Radiology, Diagnostic Radiology
(Licence: WI  84156)
Enumeration Date2018-05-12
Last Update Date2024-12-11
Business Address
JORDAN MARTHA LEE FENNER
600 HIGHLAND AVE
MADISON, WI 53792-4220
Phone number: 608-263-9729
Mailing Address
JORDAN MARTHA LEE FENNER
7974 UW HEALTH CT
MIDDLETON, WI 53562-5531
Phone number:
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