Individual
JEFFREY D TEZAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
7714 W WISCONSIN AVE, WAUWATOSA, WI 53213-3418
(414) 453-6196
Mailing address
7714 W WISCONSIN AVE, WAUWATOSA, WI 53213-3418
(414) 453-6196
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5520-24
WI
Other
Enumeration date
10/28/2008
Last updated
10/28/2008
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