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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. JESSE VARNEY DEGROAT JR., M.D.

Active

DR. JESSE VARNEY DEGROAT JR., M.D. is a Family Medicine healthcare provider located in RACINE, Wisconsin. NPI 1407823156 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · RACINE, WI

Registration Details

NPI Number
1407823156
Provider Type
Individual
Gender
Male
NPI Issued
Mar 1, 2006 (20.425022562865 yrs)
Last Updated
Aug 23, 2011
License
44111-020 (WI)

Practice Information

Address
1320 WISCONSIN AVE
RACINE, WI, 534031978
Browse WI providers · Browse ZIP 53403
Phone
2626875630
Fax
2626875657
Primary Specialty
Family Medicine
207Q00000X

Other Family Medicine Providers in RACINE, WI

Name Credential NPI
DR. GARY L SHEPHERDSON MD 1992757744
BRUCE LUCCAS M.D. 1972543452
DR. REGINALD DWAYNE ADAMS D.O. 1346278843
JENNIFER J. BRITTIG M.D. 1053341065
RUDY V. BYRON JR. M.D. 1376573386
JEFFREY C. MANLOVE M.D. 1699795138
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.