Individual
JAY M MIESFELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
109 WARREN ST STE 4, BEAVER DAM, WI 53916-3082
(920) 885-3305
(920) 885-5506
Mailing address
7974 UW HEALTH CT, MIDDLETON, WI 53562-5531
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
54813-20
WI
208000000X
Pediatrics Physician
R-8095
IA
Other
Enumeration date
06/18/2007
Last updated
02/24/2025
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