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Individual

DR. MICHAEL H. JACKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
9697 SAINT CATHERINES DR STE 200, PLEASANT PRAIRIE, WI 53158-2118
(262) 656-3590
(262) 656-3591
Mailing address
6308 8TH AVE, KENOSHA, WI 53143-5031
(262) 656-3590
(262) 656-3591

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
63207-20
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1235164328
WI
Enumeration date
07/11/2006
Last updated
12/03/2018
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