Individual
JOHN T TEIJIDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10625 W NORTH AVE STE 102, MILWAUKEE, WI 53226
(414) 877-5350
Mailing address
1705 ROCKRIDGE WAY, WAUKESHA, WI 53188-2694
(309) 236-5833
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
68104-20
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/24/2016
Last updated
04/19/2019
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