Individual provider · Type 1 NPI

Jefferson I. Driscoll, MD

Student in an Organized Health Care Education/Training Program · Monroe, WI

NPI number 1437045127 Active

Practice location

515 22nd Ave
Monroe, WI 53566-1569

Mailing address

1114 23rd Ave
Monroe, WI 53566-2103

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician 207Q00000X101692851 (WI)
Student in an Organized Health Care Education/Training Program Primary 390200000X101692 (WI)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1437045127

Jefferson I. Driscoll, MD's National Provider Identifier is 1437045127, issued on Jun 17, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Monroe, WI. The record was last updated on Jul 31, 2025.