Individual
DR. JEREMY F SIEGRIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2901 W KINNICKINNIC RIVER PKWY, SUITE 315, MILWAUKEE, WI 53215-3677
(414) 385-4638
(414) 649-6282
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(414) 649-6000
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
53365-20
WI
207RP1001X
Pulmonary Disease Physician
53365-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1386682060
—
WI
Enumeration date
06/03/2006
Last updated
10/17/2023
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