Individual
MRS. MARTHA F JAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
11307 N PORT WASHINGTON RD, MEQUON, WI 53092-3411
(262) 241-1919
(262) 241-9046
Mailing address
11307 N PORT WASHINGTON RD, MEQUON, WI 53092-3411
(262) 241-1919
(262) 241-9046
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
32996-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31810400
—
WI
Enumeration date
06/13/2005
Last updated
01/29/2018
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