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NPI Code Detail

MEDICARE: DR. AARON THOMAS JAGELSKI M.D.

MEDICARE: DR. AARON THOMAS JAGELSKI M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician0101253895VA
2207Q00000XFamily Medicine Physician58593MN
3207Q00000XFamily Medicine Physician5242AWY
4207Q00000XFamily Medicine PhysicianM9101ID
5207Q00000XFamily Medicine PhysicianMD25187OR
6207Q00000XFamily Medicine Physician56358AZ
7208M00000XHospitalist Physician0101253895VA
8208M00000XHospitalist Physician58593MN
9207Q00000XFamily Medicine Physician111-320WI

General Provider Information

NPI Number : 1548261357
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. AARON THOMAS JAGELSKI M.D.
Provider Business Mailing Address
First Line : PO BOX 52
Second Line :
City : NEWCASTLE
State : WY
Zip : 82701-0052
Country : US
Telephone Number : 307-949-0242
Fax Number :
Provider Business Practice Location Address
First Line : 353 FAIRMONT BLVD
Second Line :
City : RAPID CITY
State : SD
Zip : 57701-7375
Country : US
Telephone Number : 605-755-1000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/02/2005
Last Update Date : 12/05/2024

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