Individual
NATHANIEL S JALIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2116 CRAIG ROAD, EAU CLAIRE, WI 54701
(715) 858-4718
Mailing address
1000 N OAK AVE, MARSHFIELD, WI 54449-5777
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
34338
WI
207RN0300X
Nephrology Physician
Primary
34338
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31936300
—
WI
Enumeration date
10/05/2006
Last updated
02/15/2024
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