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Ian Arthur Jasso, DO

Student in an Organized Health Care Education/Training Program in Wausau, WI. Individual provider (NPI-1).

NPI number1245033166
StatusActive
Last updated in NPPESMar 27, 2025

Details

NPI
1245033166
Entity type
Individual (NPI-1)
Name
Ian Arthur Jasso
Credential
DO
Sex
Male
Sole proprietor
No
Enumeration date
Mar 27, 2025
Certification date
Mar 27, 2025
Last updated
Mar 27, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program––Yes

Practice location

425 Wind Ridge Dr
Wausau, WI 54401-4149

Phone 715-675-3391

Mailing address

425 Wind Ridge Dr
Wausau, WI 54401-4149

Phone 715-675-3391

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