Jeffery R Bourgerie is a Optometrist based in Medford, WI. Jeffery R Bourgerie practices in Medford, WI and has the professional credentials of OD. The NPI Number for Jeffery R Bourgerie is 1164409348 and holds a License No. 2228 (Wisconsin).
The current practice location address for Jeffery R Bourgerie is 309 E Broadway Ave, Medford, WI and can be reached out via phone at 715-748-2020 and via fax at 715-748-4565.
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 38715300 | 05 | WI | |
| 37815100 | 05 | WI | |
| 39-1229699 | 01 | WI | FEDERAL TAX ID-MEDFORD |
| 391229699015 | 01 | WI | BLUE CROSS BLUE SHIELD-ME |
| 0474980001 | 01 | WI | DMERC-MEDFORD GROUP |
| 10445 | 01 | WI | NVA-MEDFORD |
| 410045063 | 01 | WI | RAILROAD MEDICARE-COLBY |
| 1271670001 | 01 | WI | DMERC-COLBY GROUP |
| 21143 | 01 | WI | SECURITY HEALTH PLAN-MEDF |
| 2228 | 01 | WI | LICENSE NUMBER |
| 39-1967186 | 01 | WI | FEDERALTAX ID-COLBY |
| 38581200 | 05 | WI | |
| 391967186091 | 01 | WI | BLUE CROSS BLUE SHIELD-CO |
| 410015253 | 01 | WI | RAILROAD MEDICARE-MEDFORD |
| 63857 | 01 | WI | SECURITY HEALTH PLAN-COLB |
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