Individual
EMILY RUTH JAEGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
200 E RYAN RD, OAK CREEK, WI 53154-4563
(414) 570-3590
(414) 570-3599
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
01085379A
IN
2084N0400X
Neurology Physician
Primary
83255
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100285606
—
WI
Enumeration date
04/17/2017
Last updated
09/13/2024
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