Organization
JEFFERSON N CALIMLIM MD SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFERSON CALIMLIM (PRESIDENT, PHYSICIAN)
(414) 384-3838
Entity
Organization
Contact information
Practice address
1550 E. ROYALL PLACE, #1002, MILWAUKEE, WI 53202
(414) 384-3838
Mailing address
1550 E. ROYALL PLACE, #1002, MILWAUKEE, WI 53202
(414) 384-3838
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30256300
—
WI
Enumeration date
05/15/2007
Last updated
08/22/2020
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