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Jesse Tao Buedefeldt-pollard, MD
Obstetrics Physician in Springfield, Illinois
NPI 1669768644

Jesse Tao Buedefeldt-pollard is a Obstetrics Physician based in Springfield, IL and is specialized in Obstetrics. Jesse Tao Buedefeldt-pollard practices in Springfield, IL and has the professional credentials of MD. The NPI Number for Jesse Tao Buedefeldt-pollard is 1669768644 and holds a License No. MD171594 (Illinois).

The current practice location address for Jesse Tao Buedefeldt-pollard is 415 N 9Th St, Springfield, IL and can be reached out via phone at 217-545-8000 and via fax at 217-545-4912.

Location: 415 N 9Th St, Springfield, IL, 62794-9640
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1669768644
Provider Name
Jesse Tao Buedefeldt-pollard
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
415 N 9Th St, Springfield, IL, 62794-9640
Phone Number
217-545-8000
Fax Number
217-545-4912
Provider Enumeration Date
06/28/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
036140756 05 IL
institution
Provider Business Practice Location Address Details
Address
415 N 9Th St
City
Springfield
State
Illinois
Zip
62702-5303
Phone Number
217-545-8000
Fax Number
217-545-4912
person
Provider Business Mailing Address Details
Address
415 N 9Th St
City
Springfield
State
Illinois
Zip
62702-5303
Phone Number
217-545-8000
Fax Number
217-545-4912
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
-
Taxonomy
207V00000X
License No.
036140756 (Illinois)
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
Obstetrics
Taxonomy
207VX0000X
License No.
MD171594 (Oregon)
Definition
Definition to come...
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