Individual
JONATHON D. TRUWIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9200 W WISCONSIN AVE, CLINICAL CANCER CENTER C4000, MILWAUKEE, WI 53226-3522
(414) 805-2605
(414) 805-4285
Mailing address
9200 W WISCONSIN AVE, PULMONARY DISEASE, MILWAUKEE, WI 53226-3522
(414) 955-7040
(414) 955-6211
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
0101043907
VA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
62072
WI
207RP1001X
Pulmonary Disease Physician
Primary
62072
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006039502
—
VA
05
—
1518002450
—
WI
Enumeration date
02/20/2007
Last updated
04/14/2014
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