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Individual

PAUL GEORGE JENKINS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1575 RIVERCENTER DR, STE 104, MILWAUKEE, WI 53212
(414) 274-7520
(414) 274-7525
Mailing address
1575 RIVERCENTER DR, STE 104, MILWAUKEE, WI 53212
(414) 274-7520
(414) 274-7525

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
17681020
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
30916600
WI
Enumeration date
02/23/2006
Last updated
12/20/2012
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