Jason Nathaniel Edmonds M.D.

NPI 1689839086 - Student in an Organized Health Care Education/Training Program - 390200000X

NPI Details
NPI 1689839086
Gender Male
Enumeration Date 07/24/2008
Last Updated 05/02/2013
Entity Type Individual
Active Over 8 years ago
Practice Location
1684 N PROSPECT AVE
MILWAUKEE WI, 53202-2408, US
Phone (414) 271-2020
Fax
Business Location
1684 N PROSPECT AVE
MILWAUKEE WI, 53202-2408, US
Phone (414) 271-2020
Fax
Toxanomy
Taxonomy Code 390200000X
License State
License Number
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According to our database, Dr. Jason Nathaniel Edmonds M.D. NPI is 1689839086, taxonomy code is 390200000X Jason Nathaniel Edmonds M.D. physically located at 1684 N Prospect Ave, Milwaukee WI, 53202-2408. NPI Number Jason Nathaniel Edmonds M.D. has the Individual type.

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1689839086 NPI number is provided on an as is basis without warranty of any kind. 1689839086 is maintained by the National Plan & Provider Enumeration System. The contents of Jason Nathaniel Edmonds M.D. are for informational purposes only.