Individual
JEREMY J JASKUNAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
202 S. PARK ST, MADISON, WI 53715-1507
(608) 417-5659
Mailing address
202 S. PARK ST, MADISON, WI 53715-1507
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
44823
WI
207R00000X
Internal Medicine Physician
Primary
44823-20
WI
208M00000X
Hospitalist Physician
44823-20
WI
Other
Enumeration date
02/28/2006
Last updated
02/12/2013
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