Individual
DR. JENNIFER M CHEVALIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
13950 W CAPITOL DR STE 200, BROOKFIELD, WI 53005-2441
(262) 781-3065
(262) 781-3835
Mailing address
9000 W WISCONSIN AVE # MS 958, MILWAUKEE, WI 53226-4874
(414) 266-7615
(414) 266-6238
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
42630-20
WI
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
42630
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1003867409
—
WI
Enumeration date
05/12/2006
Last updated
01/09/2018
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