Individual
DR. BRENT FOSSUM JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
788 N JEFFERSON ST, SUITE 201, MILWAUKEE, WI 53202-3718
(414) 226-4010
(414) 274-6270
Mailing address
788 N JEFFERSON ST, SUITE 300, MILWAUKEE, WI 53202-3718
(414) 272-8950
(414) 225-2929
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
63122-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1275777260
—
WI
Enumeration date
04/22/2009
Last updated
11/09/2016
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