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Jason S So, DO
Family Medicine Physician in Lake Geneva, Wisconsin
NPI 1508078643

Jason S So is a Family Medicine Physician based in Lake Geneva, WI. Jason S So practices in Lake Geneva, WI and has the professional credentials of DO. The NPI Number for Jason S So is 1508078643 and holds a License No. 036119919 (Wisconsin).

The current practice location address for Jason S So is 350 Peller Rd, Lake Geneva, WI and can be reached out via phone at 262-245-0221 and via fax at 262-249-0633.

Location: 350 Peller Rd, Lake Geneva, WI, 53147-4543
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1508078643
Provider Name
Jason S So
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
350 Peller Rd, Lake Geneva, WI, 53147-4543
Phone Number
262-245-0221
Fax Number
262-249-0633
Provider Enumeration Date
05/03/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1508078643 01 WI BCBSWI
SOJAS 01 WI MERCYCARE INSURANCE
1508078643 05 WI
institution
Provider Business Practice Location Address Details
Address
350 Peller Rd
City
Lake Geneva
State
Wisconsin
Zip
53147-4543
Phone Number
262-245-0221
Fax Number
262-249-0633
person
Provider Business Mailing Address Details
Address
350 Peller Rd
City
Lake Geneva
State
Wisconsin
Zip
53147-4543
Phone Number
262-245-0221
Fax Number
262-249-0633
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
036119919 (Illinois)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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