Individual
DR. JEFFREY A NIEZGODA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2500 W LAYTON AVE, STE 30, MILWAUKEE, WI 53221-5436
(414) 269-5336
Mailing address
2500 W LAYTON AVE, SUITE 30, MILWAUKEE, WI 53221-5420
(414) 269-5336
Taxonomy
Speciality
Code
Description
License number
State
207PE0005X
Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
Primary
40360-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32478300
—
WI
Enumeration date
04/13/2006
Last updated
09/22/2017
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