Individual
DR. JEREMIAH PETER DEPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-6000
(414) 805-6280
Mailing address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-6000
(414) 805-6280
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
86286
WI
207RI0011X
Interventional Cardiology Physician
Primary
86286
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100368832
—
WI
Enumeration date
08/20/2007
Last updated
06/01/2026
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