Individual
DR. GERALD ALAN JELACIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
N56W14044 SILVER SPRING DR # 101, MENOMONEE FALLS, WI 53051-5933
(262) 373-1850
(262) 373-1853
Mailing address
N56W14044 SILVER SPRING DR # 101, MENOMONEE FALLS, WI 53051-5933
(262) 373-1850
(262) 373-1853
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3188-015
WI
Other
Enumeration date
11/30/2005
Last updated
09/01/2009
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