Individual
JANE ESCOLAS HARRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3003 W GOOD HOPE RD, MILWAUKEE, WI 53209-2042
(414) 352-3100
(414) 247-4841
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
4351047329
MI
207N00000X
Dermatology Physician
Primary
83730
WI
207R00000X
Internal Medicine Physician
260655
NC
390200000X
Student in an Organized Health Care Education/Training Program
4351047329
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100280421
—
WI
Enumeration date
03/26/2020
Last updated
08/28/2024
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