Individual
JEAN M SWITALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3289 N MAYFAIR RD, WAUWATOSA, WI 53222-3203
(414) 771-7900
(414) 607-6336
Mailing address
3003 W GOOD HOPE RD, MILWAUKEE, WI 53209-2042
(414) 352-3100
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
20942
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30254600
—
WI
01
—
P00975446
RR MEDICARE
WI
Enumeration date
08/24/2006
Last updated
11/18/2011
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