Individual
JEFFREY ALAN MEADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
134 HOSPITAL DR, WATERTOWN, WI 53098-3304
(920) 261-6500
(920) 261-6107
Mailing address
134 HOSPITAL DR, WATERTOWN, WI 53098-3304
(920) 261-6500
(920) 261-6107
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
39630-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32455200
—
WI
Enumeration date
07/07/2005
Last updated
05/08/2020
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