Individual
DR. JACK LINDLEY HUGHES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2500 N MAYFAIR RD, STE 200, MILWAUKEE, WI 53226-1415
(414) 259-1930
(414) 259-0160
Mailing address
2500 N 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
09/11/2006
Last updated
07/08/2007
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