Individual
MICHAEL A JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
608 W BROWN ST, WAUPUN, WI 53963-1702
(920) 324-6801
(920) 324-6878
Mailing address
420 E DIVISION ST, FOND DU LAC, WI 54935-4560
(920) 926-8340
(920) 926-8370
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
53443
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100006863
—
WI
01
—
P01185334
RAILROAD MEDICARE
WI
Enumeration date
11/10/2006
Last updated
03/03/2016
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