Individual
MR. JEFFREY STEPHEN YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
W180 N8000 TOWN HALL ROAD, MENOMONEE FALLS, WI 53051
(262) 255-2500
Mailing address
W180 N8000 TOWN HALL ROAD, MENOMONEE FALLS, WI 53051
(262) 255-2500
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
30522
WI
207W00000X
Ophthalmology Physician
30522-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1659470763
—
WI
05
—
317 946 00
—
WI
Enumeration date
09/22/2006
Last updated
07/09/2014
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