Individual
DR. JEROME E TYJESKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
119 E MACKIE ST, BEAVER DAM, WI 53916-2031
(920) 885-3020
(920) 885-3024
Mailing address
119 E MACKIE ST, BEAVER DAM, WI 53916-2031
(920) 885-3020
(920) 885-3024
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2819
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38861200
—
WI
Enumeration date
11/29/2006
Last updated
08/29/2022
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