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Individual

DR. JENNIFER JURY MCINTOSH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.O.

Contact information

Practice address
9200 W WISCONSIN AVE, DEPT OF OBSTETRICS AND GYNECOLOGY, MILWAUKEE, WI 53226-3522
(414) 805-6624
(414) 805-6622
Mailing address
9200 W WISCONSIN AVE, DEPT OF OBSTETRICS AND GYNECOLOGY, MILWAUKEE, WI 53226-3522
(414) 805-6624
(414) 805-6622

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
11013849A
IN
207V00000X
Obstetrics & Gynecology Physician
63633
WI
207VM0101X
Maternal & Fetal Medicine Physician
5018
OK
207VM0101X
Maternal & Fetal Medicine Physician
Primary
63633
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1578732897
WI
Enumeration date
02/21/2008
Last updated
12/21/2020
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