Individual
MARIANNE M JUNCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
N112W17975 MEQUON RD, GERMANTOWN, WI 53022-2425
(262) 532-7600
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
57578
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100034358
—
WI
Enumeration date
03/28/2011
Last updated
09/16/2024
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