Individual
JASON PAUL REVOLINSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
W180N8000 TOWN HALL RD, MENOMONEE FALLS, WI 53051-4002
(262) 532-3200
Mailing address
820 E GRANT ST, APPLETON, WI 54911-3483
(920) 731-5811
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
50161-020
WI
Other
Enumeration date
12/15/2006
Last updated
04/03/2019
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