Individual
JORGE ENRIQUE VELASQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1801 W WISCONSIN AVE, MILWAUKEE, WI 53233-2186
(262) 399-3821
Mailing address
1801 W WISCONSIN AVE, MILWAUKEE, WI 53233-2186
(262) 399-3821
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
84823-875
WI
Other
Enumeration date
02/28/2025
Last updated
02/28/2025
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