Individual
DR. JEFFREY T JUNIG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1020 S MAIN ST, FOND DU LAC, WI 54935-6102
(920) 923-9054
(920) 322-9193
Mailing address
1020 S MAIN ST, FOND DU LAC, WI 54935-6102
(920) 923-9054
(920) 322-9193
Taxonomy
Speciality
Code
Description
License number
State
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
32668-020
WI
2084F0202X
Forensic Psychiatry Physician
32668-020
WI
2084P0800X
Psychiatry Physician
Primary
32668-020
WI
2084P2900X
Pain Medicine (Psychiatry & Neurology) Physician
32668
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31769900
—
WI
01
—
32668-020
MEDICAL LICENSE
WI
Enumeration date
04/27/2006
Last updated
12/14/2007
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