Individual
JENNIFER E TRIBBLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4601 N OAKLAND AVE, SHOREWOOD, WI 53211-1232
(414) 964-4601
(414) 964-4616
Mailing address
6400 INDUSTRIAL LOOP, GREENDALE, WI 53129-2452
(414) 423-4100
(414) 423-4134
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
37932-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32336400
—
WI
Enumeration date
07/12/2007
Last updated
07/12/2007
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