Individual
DR. JEFFERY S VILLWOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
945 N 12TH ST, EMERGENCY MED, MILWAUKEE, WI 53233-1305
(414) 219-7880
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(414) 219-7880
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
35809-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32050100
—
WI
Enumeration date
04/14/2006
Last updated
11/09/2023
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