Individual
DR. JEFFREY A WESSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9200 W WISCONSIN AVE, DIVISION OF NEPHROLOGY, MILWAUKEE, WI 53226-3522
(414) 805-3100
(414) 805-9059
Mailing address
9200 W WISCONSIN AVE, DIVISION OF NEPHROLOGY, MILWAUKEE, WI 53226-3522
(414) 805-3100
(414) 805-9059
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
37081
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000018515T
HUMANA
—
05
—
1326090879
—
WI
Enumeration date
05/16/2006
Last updated
10/13/2014
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