Individual
DR. LEWIS A JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
600 HIGHLAND AVE, MADISON, WI 53792-0001
(608) 263-6400
Mailing address
7974 UW HEALTH CT, MIDDLETON, WI 53562-5531
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
125074549
IL
2085R0202X
Diagnostic Radiology Physician
Primary
83475
WI
Other
Enumeration date
06/08/2019
Last updated
06/21/2024
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