Individual
DR. JESSICA MARIE GHAFERI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
4301087739
MI
207ND0900X
Dermatopathology Physician
4301087739
MI
207ND0900X
Dermatopathology Physician
Primary
84970
WI
207ZD0900X
Dermatopathology (Pathology) Physician
4301087739
MI
207ZD0900X
Dermatopathology (Pathology) Physician
MD174001
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1003940966
—
WI
Enumeration date
03/15/2007
Last updated
01/05/2026
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