Individual
ROBERT JAQUISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9000 W WISCONSIN AVE, MILWAUKEE, WI 53226-4874
(414) 266-2000
Mailing address
9000 W WISCONSIN AVE, MILWAUKEE, WI 53226-4874
(414) 266-2380
(414) 266-2294
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
42459
WI
2086S0120X
Pediatric Surgery Physician
E-4664
AR
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
2010-01391
NC
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
42459
WI
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
E-4664
AR
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
R1549
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1356432553
—
WI
05
—
158664001
—
AR
Enumeration date
09/27/2006
Last updated
04/01/2025
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