Organization
JACK L HUGHES MD SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACK LINDLEY HUGHES MD (PRESIDENT)
(414) 259-1930
Entity
Organization
Contact information
Practice address
2500 NORTH MAYFAIR RD, STE 200, MILWAUKEE, WI 53226-1415
(414) 259-1930
(414) 259-0160
Mailing address
2500 NORTH MAYFAIR RD, STE 200, MILWAUKEE, WI 53226-1415
(414) 259-1930
(414) 259-0160
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
18882020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30938900
—
WI
Enumeration date
11/06/2006
Last updated
08/22/2020
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