Individual
JEFFREY LEE MINIKEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 COUNTY ROAD B, SHAWANO, WI 54166-7072
(920) 831-5050
(920) 738-6400
Mailing address
PO BOX 8003, APPLETON, WI 54912-8003
(920) 996-3200
(920) 738-5787
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
21786
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30478900
—
WI
Enumeration date
01/18/2006
Last updated
03/15/2012
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