Organization
WAUKESHA PEDIATRIC ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LINDA J JENSON (OFFICE MANAGER)
(262) 542-2536
Entity
Organization
Contact information
Practice address
1111 DELAFIELD ST, SUITE 115, WAUKESHA, WI 53188-3417
(262) 542-2536
(262) 542-2791
Mailing address
1111 DELAFIELD ST, SUITE 115, WAUKESHA, WI 53188-3417
(262) 542-2536
(262) 542-2791
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
01/25/2007
Last updated
08/22/2020
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