Individual
NAMITA JAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3003 W GOOD HOPE RD STE 1-200, MILWAUKEE, WI 53209-2042
(414) 352-3100
Mailing address
3003 W GOOD HOPE RD STE 1-200, MILWAUKEE, WI 53209-2042
(414) 352-3100
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
71499
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100092430
—
WI
Enumeration date
03/27/2014
Last updated
12/23/2021
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