Individual
JERROD EDWARD DAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
909 SAGAMORE PKWY W, WEST LAFAYETTE, IN 47906-1443
(765) 463-6262
(765) 463-9122
Mailing address
PO BOX 781076, DETROIT, MI 48278-1076
(317) 528-4800
(317) 865-1479
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
01078194A
IN
207Q00000X
Family Medicine Physician
64644-20
WI
208M00000X
Hospitalist Physician
Primary
01078194A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1215306493
BCBSWI
WI
05
—
1215306493
—
WI
05
—
300006854
—
IN
01
—
DAYJER
MERCYCARE INSURANCE
WI
Enumeration date
09/17/2015
Last updated
03/22/2023
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