Individual
DR. JACK R. INYART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
610 E LONGVIEW DR STE A, APPLETON, WI 54911-2165
(920) 246-1555
(920) 743-9982
Mailing address
947 S 20TH PL, STURGEON BAY, WI 54235-1013
(920) 246-1555
(920) 743-9982
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
15120
WI
Other
Enumeration date
07/01/2008
Last updated
01/18/2010
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