Individual
MAJED JANDALI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9555 76TH ST STE 4880, PLEASANT PRAIRIE, WI 53158-1984
(262) 748-1001
(262) 748-1020
Mailing address
9555 76TH ST STE 4880, PLEASANT PRAIRIE, WI 53158-1984
(262) 748-1001
(262) 748-1020
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
34339
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31923800
—
WI
Enumeration date
12/14/2006
Last updated
09/27/2022
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